Active NPI
Michelle Cua
- Pharmacist
- Salem, WI
National Provider Identifier
1699113548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16954-40
- Practice address
- 25401 75TH St
Salem, WI 53168-9527 - Phone
- (262) 843-1550
- NPI assigned
- Jun 12, 2013
- Last updated
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16954-40 | WI | Primary |
Addresses
Primary practice location
25401 75TH St
Salem, WI 53168-9527
Mailing address
2851 Acacia Ter
Buffalo Grove, IL 60089-6634
Phone (847) 634-0498
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16954-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1699113548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 ACACIA TER",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896634",
"telephone_number": "847-634-0498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25401 75TH ST",
"city": "SALEM",
"state": "WI",
"postal_code": "531689527",
"telephone_number": "262-843-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUA",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16954-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, WI
- Peter Alfred John Capelli, MD
- Joel Carroll, MD
- Central High School District of Westosha
- Children's Medical Group (Kenosha Peds - Paddock Lake Site)
- Marianne Elizabeth Cole
- Valentin Cuarto III, D.D.S
- Michael Robert Davis
- Tejas Ramesh Desai, RPH
- Kevin Erdman, PA-C
- Family & Restorative Dentistry (Fulmer Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.