DR. MICHELLE RAQUEL ANDRIESSEN (NPI# 1235564964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235564964 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE RAQUEL ANDRIESSEN |
| Credential | PHARM. D. |
| Practice Address |
1310 East 79th Avenue Merrillville IN 46410 |
| Mailing Address |
1310 E 79th Ave Merrillville IN 46410-5768 |
| Practice Telephone | 2196416402 |
| Mailing Telephone | 2196416402 |
| Mailing Fax Number | 2196416421 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2016-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26021559A | IN | Pharmacy Service Providers |
| Street Address |
1310 EAST 79TH AVENUE |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| 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 |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1043624315 | Margaret Gurley | Pharmacist | 611 Us Highway 30, Merrillville, IN 46410 | 2014-06-16 |
| 1952735292 | Bradford J Bernard | Pharmacist | 101 W Lincoln Hwy, Merrillville, IN 46410 | 2013-08-22 |
| 1104265586 | Maria Mckenzie Harmon | Pharmacist | 10 E 81st Ave, Merrillville, IN 46410 | 2013-06-19 |
| 1124399241 | Voncenia Vann | Pharmacist | 5424 Jackson St, Merrillville, IN 46410-1447 | 2012-01-20 |
| 1649549692 | Joia Dayne Warner | Pharmacist | 3867 W 73rd Ct, Merrillville, IN 46410-7823 | 2011-12-21 |
| 1528349537 | Robert E Poncsak | Pharmacist | 400 W 81st Ave, Merrillville, IN 46410-5589 | 2011-09-03 |
| 1629679956 | Lauro Chavez | Pharmacist | 2936 E 79th Ave, Merrillville, IN 46410-5748 | 2020-11-03 |
| 1659971935 | Allan Weiner | Pharmacist | 3134 E 79th Ave, Merrillville, IN 46410-5738 | 2020-10-27 |
| 1710587977 | Sarah Graegin | Pharmacist | 3134 E 79th Ave, Merrillville, IN 46410-5738 | 2020-10-27 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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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.