DR. MICHELLE MARIE NEELY (NPI# 1619490109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619490109 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE MARIE NEELY |
| Practice Address |
27702 Crown Valley Pkwy Ste I Ladera Ranch CA 92694-0609 |
| Mailing Address |
3007 Calle Arco San Clemente CA 92672-3607 |
| Practice Telephone | 9493641430 |
| Mailing Telephone | 9495109649 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 51839 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841677861 | Michelle Neely | Internal Medicine | 8700 Beverly Blvd, Becker Building, B-105a, West Hollywood, CA 90048-1804 | 2015-04-28 |
| 1871732610 | Michelle Gonzalez Neely | Family Medicine | 13500 Sw 88th St, Suite # 175, Miami, FL 33186-1515 | 2009-02-18 |
| Street Address |
27702 CROWN VALLEY PKWY STE I |
| City | LADERA RANCH |
| State | CA |
| Zip Code | 92694-0609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1932690054 | Lauren Pamela Ramirez | Speech-Language Pathologist | 777 Corporate Dr. Ste #230, Ladera Ranch, CA 92694 | 2018-05-24 |
| 1568985091 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 30551 Gateway Pl, Rancho Mission Viejo, CA 92694 | 2017-07-17 |
| 1730635467 | Ginger Renee Hopkins | Physical Therapist | 2 Newkirk Road, Ladera Ranch, CA 92694 | 2016-09-01 |
| 1003283987 | Vigliarolo, D.d.s. Dental Corp | Dentist | 600 Corporate Dr #220, Ladera Ranch, CA 92694 | 2015-08-27 |
| 1629450358 | Medhat Fahim | Pharmacist | 27702 Crown Vally # B, Ladera Ranch, CA 92694 | 2015-06-18 |
| 1508291436 | Lucas Bingham M.d., Inc. | Dermatology | 600 Corporate Dr Ste 100, Ladera Ranch, CA 92694 | 2013-09-11 |
| 1861770083 | Christina Marie Bowles | Nurse Practitioner | 22 Downing St, Ladera Ranch, CA 92694 | 2011-07-22 |
| 1730499328 | Kimberly Ann Frank | Registered Nurse | 74 Garrison Loop, Ladera Ranch, CA 92694 | 2010-10-15 |
| 1578889390 | Let's Talk Speech & Language Therapy | Speech-Language Pathologist | 7 Merriweather Pl., Ladera Ranch, CA 92694 | 2010-04-19 |
| Find all providers in zip 92694 | ||||
| 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 |
|---|---|---|---|---|
| 1629450358 | Medhat Fahim | Pharmacist | 27702 Crown Vally # B, Ladera Ranch, CA 92694 | 2015-06-18 |
| 1609282276 | Betty Chan | Pharmacist | 3 Hammond Rd, Ladera Ranch, CA 92694-1414 | 2014-07-03 |
| 1750894663 | Jacinda Wilcox | Pharmacist | 25622 Crown Valley Pkwy, Ladera Ranch, CA 92694-0464 | 2017-11-14 |
| 1851804116 | Nermin Allam | Pharmacist | 25622 Crown Valley Pkwy, Ladera Ranch, CA 92694-0464 | 2017-11-08 |
| 1134674039 | Brandon Wong | Pharmacist | 25622 Crown Valley Pkwy, Ladera Ranch, CA 92694-0464 | 2016-08-20 |
| 1902258163 | Janice Lee | Pharmacist | 25622 Crown Valley Pkwy, Ladera Ranch, CA 92694-0464 | 2016-07-11 |
| 1295181980 | Hsin Ju Lin | Pharmacist | 25622 Crown Valley Pkwy, Ladera Ranch, CA 92694 | 2016-05-11 |
| 1679948020 | Mariclaire Gladys Tajonera | Pharmacist | 27702 Crown Valley Pkwy, Suite I, Ladera Ranch, CA 92694-0608 | 2015-12-10 |
| 1982078440 | Sylvia Swiderska-krawczyk | Pharmacist | 27702 Crown Valley Pkwy, Ladera Ranch, CA 92694-0608 | 2015-11-20 |
| 1164804126 | Pejman Eskandani | Pharmacist | 27702 Crown Valley Pkwy, Ladera Ranch, CA 92694-0608 | 2015-06-25 |
| Find all providers in LADERA RANCH | ||||
| City | LADERA RANCH |
| Zip Code | 92694 |
Please comment or provide details below to improve the information on DR. MICHELLE MARIE NEELY.
| 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.