Carrie Michelson, PHARMD – Pharmacist in Hesperia, CA

Key facts

NPI: 1922417856
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 55580 (CA)
Practice address: 13401 Main St
Hesperia, CA 92345-9123
Phone: (760) 244-7035
NPI assigned: Aug 5, 2014
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy

State licenses

License	State	Type	Specialty
55580	CA	MD	Orthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	55580	CA	Yes

Addresses

Primary practice location

13401 Main St
Hesperia, CA 92345-9123

Mailing address

13401 Main St
Hesperia, CA 92345-9123
Phone (760) 244-7035

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2014.

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1922417856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923459123",
            "telephone_number": "760-244-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923459123",
            "telephone_number": "760-244-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "CARRIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

All providers in Hesperia, CA · Pharmacist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.