Individual provider Active NPI

Michelle Hing Mui-Park

  • Pharmacist
  • Yelm, WA
National Provider Identifier
1710176201
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00067742 Issued in WA
Practice address
17100 Sr 507 SE
Yelm, WA 98597-7605
Phone
(360) 400-8062
Fax
(360) 400-8065
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8421 CT
Pharmacist 183500000X PH00067742 WA Primary

Addresses

Primary practice location

17100 Sr 507 SE
Yelm, WA 98597-7605

Mailing address

17100 Sr 507 SE
Yelm, WA 98597-7605
Phone (360) 400-8062

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

LicenseStateTypeSpecialty
8421CTMDGeneral Practice Dentistry
PH00067742WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1710176201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 SR 507 SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977605",
            "telephone_number": "360-400-8062",
            "fax_number": "360-400-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 SR 507 SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977605",
            "telephone_number": "360-400-8062",
            "fax_number": "360-400-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUI-PARK",
        "first_name": "MICHELLE",
        "middle_name": "HING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "8421",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00067742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.