Individual provider Active NPI

Michelle Merryman Weisburgh, PHARMD

  • Pharmacist
  • California, MD
National Provider Identifier
1922009612
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16461 Issued in MD
Practice address
45155 First Colony Way
California, MD 20619-2416
Phone
(301) 862-5342
NPI assigned
Aug 3, 2005
Last updated
Dec 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16461 MD Primary
Pharmacotherapy Pharmacist 1835P1200X 16461 MD

Addresses

Primary practice location

45155 First Colony Way
California, MD 20619-2416

Mailing address

45155 First Colony Way
California, MD 20619-2416
Phone (301) 862-5342

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

LicenseStateTypeSpecialty
16461MDMDPharmacotherapy Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1922009612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45155 FIRST COLONY WAY",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192416",
            "telephone_number": "301-862-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45155 FIRST COLONY WAY",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192416",
            "telephone_number": "301-862-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBURGH",
        "first_name": "MICHELLE",
        "middle_name": "MERRYMAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16461",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MD",
            "license": "16461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in California, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.