Michelle Lin, PHARMD
Individual provider Active NPI Pharmacist · Mescalero, NM
NPI 1790440824 · NPPES record last updated Nov 3, 2021
Key facts
- NPI
- 1790440824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 51.303583 (IL)
- Practice address
- 318 Abalone Loop
Mescalero, NM 88340 - Phone
- (575) 464-3890
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51.303583 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 51.303583 | IL | Yes |
Addresses
Primary practice location
318 Abalone Loop
Mescalero, NM 88340
Mailing address
2200 1St St Apt 401
Alamogordo, NM 88310-3406
Other providers in Mescalero, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.