Individual provider Active NPI

Melinda May Fisher, DPH

  • Pharmacist
  • Prague, OK
National Provider Identifier
1083017198
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10738 Issued in OK
Practice address
1000 W Main Street
Prague, OK 74864-4501
Phone
(405) 567-4000
Fax
(405) 567-4883
NPI assigned
Oct 2, 2014
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10738 OK Primary

Addresses

Primary practice location

1000 W Main Street
Prague, OK 74864-4501

Mailing address

16640 SW 23Rd St
El Reno, OK 73036-9147
Phone (405) 820-2002

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

State licenses

LicenseStateTypeSpecialty
10738OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prague Grocery, LLC Current Accepting new patients
Harps Food Stores, 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.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1083017198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16640 SW 23RD ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730369147",
            "telephone_number": "405-820-2002",
            "fax_number": "405-567-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MAIN STREET",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748644501",
            "telephone_number": "405-567-4000",
            "fax_number": "405-567-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MELINDA",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "10738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prague, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.