Dr. Michelle Raquel Andriessen, Pharm. D.
Pharmacist in Merrillville, IN. Individual provider (NPI-1).
NPI number1235564964
StatusActive
Last updated in NPPESJul 12, 2016
Details
- NPI
- 1235564964
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michelle Raquel Andriessen
- Credential
- Pharm. D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2013
- Last updated
- Jul 12, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26021559A | IN | Yes |
Practice location
1310 East 79th AvenueMerrillville, IN 46410
Phone 219-641-6402
Mailing address
1310 E 79th AveMerrillville, IN 46410-5768
Phone 219-641-6402 · Fax 219-641-6421
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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