Active NPI
Melissa Gillespie Anderson, RPH
- Pharmacist
- Columbus, MS
National Provider Identifier
1083943740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-8357
- Practice address
- 2102 5TH St N Ste 3
Columbus, MS 39705-2222 - Phone
- (662) 240-8900
- Fax
- (866) 306-8900
- NPI assigned
- Dec 9, 2009
- Sex
- Female
- 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 | E-8357 | MS | Primary |
Addresses
Primary practice location
2102 5TH St N Ste 3
Columbus, MS 39705-2222
Mailing address
235 Timber Creek Dr
Columbus, MS 39702-8028
Phone (662) 240-8900
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 |
|---|---|---|---|
| E-8357 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Pharmacy 705, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Birmingham, AL
- NPI 1154306801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1083943740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 TIMBER CREEK DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397028028",
"telephone_number": "662-240-8900",
"fax_number": "866-876-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 5TH ST N STE 3",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052222",
"telephone_number": "662-240-8900",
"fax_number": "866-306-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE ANDERSON",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-09",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-8357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.