Active NPI
Alma Michelson, PHARM.D.
- Pharmacist
- Clive, IA
National Provider Identifier
1902448624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22666
- Practice address
- 12753 University Ave
Clive, IA 50325-8246 - Phone
- (515) 226-1786
- NPI assigned
- Oct 15, 2019
- 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 | 22666 | IA | Primary |
Addresses
Primary practice location
12753 University Ave
Clive, IA 50325-8246
Mailing address
4317 62ND St
Urbandale, IA 50322-2807
Phone (515) 313-6679
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.05060@store.walgreens.com |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22666 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1902448624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 62ND ST",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503222807",
"telephone_number": "515-313-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12753 UNIVERSITY AVE",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258246",
"telephone_number": "515-226-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELSON",
"first_name": "ALMA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22666",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.05060@store.walgreens.com",
"affiliation": "N",
"address_1": "12753 University Ave",
"city": "Clive",
"state": "IA",
"country_code": "US",
"postal_code": "503258246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.