Active NPI
Michelle J Dominessy, RPH
- Pharmacist
- Arcade, NY
National Provider Identifier
1811018435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 036040-1
- Practice address
- 255 Main St
Arcade, NY 14009-1214 - Phone
- (585) 492-2310
- Fax
- (585) 492-2310
- NPI assigned
- Apr 2, 2007
- Last updated
- Jun 11, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 036040-1 | NY | Primary |
Addresses
Primary practice location
255 Main St
Arcade, NY 14009-1214
Mailing address
6145 Hunters Creek Rd
South Wales, NY 14139-9740
Phone (716) 655-1597
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 |
|---|---|---|---|
| 036040-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1811018435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6145 HUNTERS CREEK RD",
"city": "SOUTH WALES",
"state": "NY",
"postal_code": "141399740",
"telephone_number": "716-655-1597",
"fax_number": "585-492-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 MAIN ST",
"city": "ARCADE",
"state": "NY",
"postal_code": "140091214",
"telephone_number": "585-492-2310",
"fax_number": "585-492-2310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINESSY",
"first_name": "MICHELLE",
"middle_name": "J",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "036040-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcade, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.