Active NPI
Michelle Leigh Austin
- Pharmacist
- Fredericktown, MO
National Provider Identifier
1851936496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019028163
- Practice address
- 1025 Highway 72 Byp
Fredericktown, MO 63645-7326 - Phone
- (573) 783-6000
- NPI assigned
- Nov 7, 2019
- Last updated
- Nov 7, 2019
- 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 | 2019028163 | MO | Primary |
Addresses
Primary practice location
1025 Highway 72 Byp
Fredericktown, MO 63645-7326
Mailing address
70 Pheasant Dr
Farmington, MO 63640-7655
Phone (573) 664-6991
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 |
|---|---|---|---|
| 2019028163 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1851936496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 PHEASANT DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636407655",
"telephone_number": "573-664-6991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 HIGHWAY 72 BYP",
"city": "FREDERICKTOWN",
"state": "MO",
"postal_code": "636457326",
"telephone_number": "573-783-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "MICHELLE",
"middle_name": "LEIGH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019028163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericktown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.