Melinda May Fisher, DPH
Individual provider Active NPI Pharmacist · Prague, OK
NPI 1083017198 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1083017198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10738 (OK)
- Practice address
- 1000 W Main Street
Prague, OK 74864-4501 - Phone
- (405) 567-4000
- Fax
- (405) 567-4883
- NPI assigned
- Oct 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10738 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prague Grocery, LLC | Current | Accepting new patients | |
| Harps Food Stores, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10738 | OK | Yes |
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
Other providers in Prague, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.