Melissa Hale, PHARMD

Individual provider Active NPI Pharmacist · Riceville, TN

NPI 1023743994 · NPPES record last updated Jul 23, 2022

Key facts

NPI
1023743994
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
40650 (TN)
Practice address
299 County Road 752
Riceville, TN 37370-5351
Phone
(423) 453-0623
NPI assigned
Jul 23, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
40650TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Valley Pharmacy Current
since Jul 31, 2022
Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40650 TN Yes

Addresses

Primary practice location

299 County Road 752
Riceville, TN 37370-5351

Mailing address

299 County Road 752
Riceville, TN 37370-5351

Other practice location 1

1302 Congress Pkwy S
Athens, TN 37303-4907
Phone (423) 745-7749

Other providers in Riceville, TN

All providers in Riceville, TN · Pharmacist in Tennessee

Sources for this page

Verify at the official NPI Registry.