Active NPI
Michaela Perry, PHARMD
- Pharmacist
- Prospect, KY
National Provider Identifier
1982378410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022186
- Practice address
- 5900 Timber Ridge Dr
Prospect, KY 40059-8131 - Phone
- (502) 228-3304
- NPI assigned
- Aug 7, 2021
- Last updated
- Aug 7, 2021
- 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 | 022186 | KY | Primary |
Addresses
Primary practice location
5900 Timber Ridge Dr
Prospect, KY 40059-8131
Mailing address
7410 Steeplecrest Cir Apt 309
Louisville, KY 40222-9150
Phone (217) 622-4201
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 |
|---|---|---|---|
| 022186 | KY | 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": "1628294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628294400000",
"number": "1982378410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7410 STEEPLECREST CIR APT 309",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402229150",
"telephone_number": "217-622-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 TIMBER RIDGE DR",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400598131",
"telephone_number": "502-228-3304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MICHAELA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-07",
"last_updated": "2021-08-07",
"certification_date": "2021-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "022186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prospect, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.