Individual provider Active NPI

Michelle Lynn Craig

  • Pharmacist
  • Liberty Township, OH
National Provider Identifier
1912280850
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03219500 Issued in OH
Practice address
6330 Cincinnati Dayton Rd
Liberty Township, OH 45044-8797
Phone
(513) 755-1831
Fax
(513) 755-2321
NPI assigned
Sep 27, 2011
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03219500 OH Primary

Addresses

Primary practice location

6330 Cincinnati Dayton Rd
Liberty Township, OH 45044-8797

Mailing address

6330 Cincinnati Dayton Rd
Liberty Township, OH 45044-8797
Phone (513) 755-1831

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

LicenseStateTypeSpecialty
03219500OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jul 23, 2023 Accepting new patients
Walgreen Co PastSince Feb 27, 2022 Accepting new patients
Walgreen Co PastSince Jul 23, 2023 Accepting new patients

Locations

6330 Cincinnati Dayton Rd
Liberty Township, OH 45044
Phone (513) 755-1831

Organizations & group practices 3

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": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1912280850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 CINCINNATI DAYTON RD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450448797",
            "telephone_number": "513-755-1831",
            "fax_number": "513-755-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 CINCINNATI DAYTON RD",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450448797",
            "telephone_number": "513-755-1831",
            "fax_number": "513-755-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03219500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.