Individual provider Active NPI

Melony Vines, PHARM.D.

  • Pharmacist
  • Sheppard Air Force Base, TX
National Provider Identifier
1063797942
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
40798 Issued in TX
Practice address
149 Hart Street
Suite 100
Sheppard Air Force Base, TX 76311
Phone
(940) 676-6310
NPI assigned
Oct 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40798 TX Primary

Addresses

Primary practice location

149 Hart Street
Suite 100
Sheppard Air Force Base, TX 76311

Mailing address

149 Hart Street
Suite 100
Sheppard Air Force Base, TX 76311
Phone (940) 676-6310

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
40798TXMDSpeech-Language Assistant

Interoperability endpoints

  • Direct secure messaging: mduerson@landmarkhealth-direct.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1063797942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HART STREET",
            "address_2": "SUITE 100",
            "city": "SHEPPARD AIR FORCE BASE",
            "state": "TX",
            "postal_code": "76311",
            "telephone_number": "940-676-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HART STREET",
            "address_2": "SUITE 100",
            "city": "SHEPPARD AIR FORCE BASE",
            "state": "TX",
            "postal_code": "76311",
            "telephone_number": "940-676-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "MELONY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "40798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheppard Air Force Base, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.