Active NPI
Steve McMellon, RPH
- Pharmacist
- Moss Point, MS
National Provider Identifier
1053386920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E06838
- Practice address
- 7100H Highway 614
Moss Point, MS 39562-7395 - Phone
- (228) 588-2888
- Fax
- (228) 588-2890
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E06838 | MS | Primary |
Addresses
Primary practice location
7100H Highway 614
Moss Point, MS 39562-7395
Mailing address
19001 Goff Farm Rd
Moss Point, MS 39562-9826
Phone (228) 588-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E06838 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holmac, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba RX Express Pharmacy
- Durable Medical Equipment & Medical Supplies
- Moss Point, MS
- NPI 1184764193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1053386920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19001 GOFF FARM RD",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395629826",
"telephone_number": "228-588-2888",
"fax_number": "228-588-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100H HIGHWAY 614",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395627395",
"telephone_number": "228-588-2888",
"fax_number": "228-588-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMELLON",
"first_name": "STEVE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E06838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moss Point, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.