MRS. ROBERTA MITCHELL MICHELSON (NPI# 1083989222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083989222 |
| Entity Type | Individual |
| Full Name | MRS. ROBERTA MITCHELL MICHELSON |
| Credential | RPH |
| Practice Address |
12221 Blue Valley Pkwy Overland Park KS 66213-2640 |
| Practice Telephone | 9132172052 |
| Practice Fax Number | 9132172059 |
| Mailing Telephone | 9132172052 |
| Mailing Fax Number | 9132172059 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 040301 | MO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 10210 | KS | Pharmacy Service Providers |
| Street Address |
12221 BLUE VALLEY PKWY |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225148844 | Costco Wholesale Corporation | Pharmacy | 12221 Blue Valley Pkwy, Overland Park, KS 66213 | 2006-08-30 |
| 1881055028 | Sheena Adams | Pharmacist | 12221 Blue Valley Pkwy, Overland Park, KS 66213-2640 | 2016-03-16 |
| 1104210376 | Costco Wholesale Corporation | Hearing Aid Equipment | 12221 Blue Valley Pkwy, Overland Park, KS 66213-2640 | 2015-03-25 |
| 1306237383 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 12221 Blue Valley Pkwy, Overland Park, KS 66213-2640 | 2015-02-11 |
| 1700228111 | Nicole Marie Schmitt | Pharmacist | 12221 Blue Valley Pkwy, Overland Park, KS 66213-2640 | 2013-07-25 |
| 1851649545 | Jacob Alexander Enlow | Pharmacist | 12221 Blue Valley Pkwy, Overland Park, KS 66213-2640 | 2012-08-28 |
| 1407115868 | Matthew Blaine Harting | Pharmacist | 12221 Blue Valley Pkwy, Overland Park, KS 66213-2640 | 2012-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022794 | Lauren Tenold | Pharmacist | 8913 W 131st St, Overland Park, KS 66213-3607 | 2020-11-01 |
| 1093252785 | Colleen Mary Reilly | Pharmacist | 8524 W 109th Ter, Overland Park, KS 66210-1654 | 2017-01-19 |
| 1316302276 | Dimple Jain | Pharmacist | 12424 Flint St, Overland Park, KS 66213-2120 | 2015-12-19 |
| 1659759264 | Joyce Reichenberg | Pharmacist | 12200 W 106th St Ste 140, Overland Park, KS 66215-2305 | 2015-05-14 |
| 1225421746 | Tanvi N Parikh | Pharmacist | 10602 W 133rd Ter Apt 203, Overland Park, KS 66213-4794 | 2015-03-09 |
| 1558780577 | Eduard Mullokandov | Pharmacist | 8712 W 157th St, Overland Park, KS 66221-9328 | 2014-04-08 |
| 1881012888 | Mark Hoover | Pharmacist | 10601 W 130th Ter, Overland Park, KS 66213-3478 | 2014-04-07 |
| 1962825836 | John Dimarco II | Pharmacist | 11770 Garnett St, Overland Park, KS 66210-3449 | 2014-01-29 |
| 1467874818 | Yi Elise Lu | Pharmacist | 5605 W 153rd Ter, Overland Park, KS 66223-3607 | 2014-01-19 |
| 1396172300 | Gregory Stites | Pharmacist | 13610 Carter Rd, Apt 502, Overland Park, KS 66221-7874 | 2013-10-04 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.