IndividualActive
Michelle Theisen
NPI 1124333109 · Pharmacist · Universal City, TX
Provider details
- NPI number
- 1124333109
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 24401 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
910 Kittyhawk Rd
Universal City, TX 78148-3806
Phone: (210) 945-2120
Street-level locationGet directions
Mailing address
23575 Hanging Oak
San Antonio, TX 78266-1757
Registry dates
- Enumerated
- 2010-08-13
- Last updated
- 2010-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.