Individual provider Active NPI

Michelle Harbour

  • Pharmacist
  • Dumfries, VA
National Provider Identifier
1982999389
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202205805 Issued in VA
Practice address
4310 Fortuna Center PLZ
T-2017
Dumfries, VA 22025-1538
Phone
(703) 586-6133
Fax
(703) 586-6846
NPI assigned
Jun 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202205805 VA Primary

Addresses

Primary practice location

4310 Fortuna Center PLZ
T-2017
Dumfries, VA 22025-1538

Mailing address

4310 Fortuna Center PLZ
T-2017
Dumfries, VA 22025-1538
Phone (703) 586-6133

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
0202205805VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1982999389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 FORTUNA CENTER PLZ",
            "address_2": "T-2017",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251538",
            "telephone_number": "703-586-6133",
            "fax_number": "703-586-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 FORTUNA CENTER PLZ",
            "address_2": "T-2017",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251538",
            "telephone_number": "703-586-6133",
            "fax_number": "703-586-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBOUR",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202205805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.