Active NPI
Michelle Dooley, RPH, LMT
- Pharmacist
- Ellenville, NY
National Provider Identifier
1679754923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045510
- Practice address
- 50 N Main St
Ellenville, NY 12428-1015 - Phone
- (845) 647-8507
- Fax
- (845) 647-8538
- NPI assigned
- Nov 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 045510 | NY | Primary |
| Massage Therapist | 225700000X | MA108260 | FL |
Addresses
Primary practice location
50 N Main St
Ellenville, NY 12428-1015
Mailing address
1215 Logger Head Circle
Unit 203
Davenport, FL 33896
Phone (315) 955-5403
Other names 1
- Michelle Bowler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045510 | NY | MD | Pharmacist |
| MA108260 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1679754923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 LOGGER HEAD CIRCLE",
"address_2": "UNIT 203",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33896",
"telephone_number": "315-955-5403",
"fax_number": "315-955-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N MAIN ST",
"city": "ELLENVILLE",
"state": "NY",
"postal_code": "124281015",
"telephone_number": "845-647-8507",
"fax_number": "845-647-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLEY",
"first_name": "MICHELLE",
"credential": "RPH, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045510",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA108260",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "BOWLER",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ellenville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.