Active NPI
Michele Lee Northrup, RPH
- Pharmacist
- Dayton, TX
National Provider Identifier
1851949002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35463
- Practice address
- 108 N Main
Ste B
Dayton, TX 77535 - Phone
- (936) 681-8335
- Fax
- (936) 281-8320
- NPI assigned
- Aug 30, 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 | 35463 | TX | Primary |
Addresses
Primary practice location
108 N Main
Ste B
Dayton, TX 77535
Mailing address
8235 Piping Rock St
Baytown, TX 77523
Phone (281) 380-6577
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 |
|---|---|---|---|
| 35463 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1851949002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8235 PIPING ROCK ST",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "77523",
"telephone_number": "281-380-6577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 N MAIN",
"address_2": "STE B",
"city": "DAYTON",
"state": "TX",
"postal_code": "77535",
"telephone_number": "936-681-8335",
"fax_number": "936-281-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHRUP",
"first_name": "MICHELE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "35463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.