Individual provider Active NPI

Michelle L Mushtare-Hamel, PHARMD

  • Pharmacist
  • Acworth, GA
National Provider Identifier
1699060731
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
019241 Issued in GA
Practice address
3378 Cobb Pkwy NW
Acworth, GA 30101-8358
Phone
(678) 202-0997
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 019241 GA Primary

Addresses

Primary practice location

3378 Cobb Pkwy NW
Acworth, GA 30101-8358

Mailing address

3378 Cobb Pkwy NW
Acworth, GA 30101-8358
Phone (678) 202-0997

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
019241GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
John H Hamel DDS PC Current Accepting new patients
Vita Dentistry, LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1699060731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3378 COBB PKWY NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018358",
            "telephone_number": "678-202-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3378 COBB PKWY NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018358",
            "telephone_number": "678-202-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSHTARE-HAMEL",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "019241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.