MICHELLE DOUGHERTY (NPI# 1609112556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609112556 |
| Entity Type | Individual |
| Full Name | MICHELLE DOUGHERTY |
| Practice Address |
342 Massachusetts Ave Suite 103 Indianapolis IN 46204-2146 |
| Practice Telephone | 3176316000 |
| Mailing Telephone | 3176316000 |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26019024A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528303666 | Michelle Dougherty | Speech-Language Pathologist | 525 Route 73 North, Suite 104, Marlton, NJ 08053-3422 | 2012-11-30 |
| 1760543037 | Michelle Senatore Dougherty | Chiropractor | 11258 Il-59 #2, Naperville, IL 60564-8090 | 2006-12-12 |
| 1730531542 | Michelle L Dougherty | Occupational Therapist | 2840 Nw 2nd Ave Ste 104, Boca Raton, FL 33431-6692 | 2016-07-05 |
| 1295161651 | Michelle Dougherty | Dietitian, Registered | 20 Elm St, Morristown, NJ 07960-8804 | 2013-09-17 |
| 1396935433 | Michelle L Dougherty | Psychiatry & Neurology | 219 N Broad St, 7th Floor, Philadelphia, PA 19107-1519 | 2007-07-25 |
| Street Address |
342 MASSACHUSETTS AVE SUITE 103 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46204-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940380 | Bioscrip Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 342 Massachusetts Ave, Ste 103, Indianapolis, IN 46204-2192 | 2005-05-24 |
| 1992041594 | Lisa Ann Colson | Pharmacist | 342 Massachusetts Ave, Suite 103, Indianapolis, IN 46204-2146 | 2012-12-31 |
| 1538405485 | Scott A Brown | Pharmacist | 342 Massachusetts Ave, Suite 103, Indianapolis, IN 46204-2146 | 2012-12-21 |
| 1063758910 | John Bradley Plunkett | Pharmacist | 342 Massachusetts Ave, Suite 103, Indianapolis, IN 46204-2146 | 2012-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1487203139 | Elizabeth Ann Wilson | Behavior Technician | 120 N East St Ste 1233, Indianapolis, IN 46204 | 2019-09-05 |
| 1225691207 | Kawthar Mohamed | Student in an Organized Health Care Education/Training Program | 120 W Michigan St # Cl630, Indianapolis, IN 46204 | 2019-04-16 |
| 1457853962 | Tracie Lynn King | Physical Therapy Assistant | 500 N Capitol Ave Unit A, Indianapolis, IN 46204 | 2018-03-01 |
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1912434010 | Latrice N Baxter | Counselor | 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 | 2017-05-19 |
| 1750820643 | Jcpl, LLC | Optometrist | 751 Massachusetts Ave, Indianapolis, IN 46204 | 2017-02-13 |
| 1922546969 | Makenzie Brinker | Specialist/Technologist | 800 N. Capital Ave, 420, Indianapolis, IN 46204 | 2017-02-10 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1194176263 | Bradley Cox | Dentist | 451 E Market St Apt 448, Indianapolis, IN 46204 | 2016-06-29 |
| Find all providers in zip 46204 | ||||
| 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 |
|---|---|---|---|---|
| 1447851928 | Alicia Helene Wojciechowski | Pharmacist | 5829 N New Jersey St, Indianapolis, IN 46220-2534 | 2020-11-02 |
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1548860802 | Adam Mccoy | Pharmacist | 9240 N Meridian St Ste 140, Indianapolis, IN 46260-2368 | 2020-10-27 |
| 1033716295 | Farah Khan | Pharmacist | 1928 Pamona Dr, Indianapolis, IN 46214-3361 | 2020-10-01 |
| 1760090690 | Kristy Ann Rapes | Pharmacist | 1901 N Senate Blvd # Ag401, Indianapolis, IN 46202-1246 | 2020-07-16 |
| 1306462288 | Katherine Marie Anderson | Pharmacist | 8441 Fairwind Ct, Indianapolis, IN 46256-1544 | 2020-06-17 |
| 1629698352 | Zachary William Howe | Pharmacist | 1701 N Capitol Ave Rm B222, Indianapolis, IN 46202-1203 | 2020-04-22 |
| 1528688603 | Justin Biancardi | Pharmacist | 550 University Blvd # R077, Indianapolis, IN 46202-5149 | 2020-04-20 |
| 1619506953 | Katherine Pola | Pharmacist | 6053 Halfmoon Ln, Indianapolis, IN 46220-4142 | 2020-04-08 |
| 1770120883 | Benjamin Neuenschwander | Pharmacist | 9851 E 59th St, Indianapolis, IN 46216-1124 | 2019-12-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46204 |
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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.