Individual provider Active NPI

Melonee Riffey

  • Pharmacist
  • Decatur, IL
National Provider Identifier
1093589848
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.040137 Issued in IL
Practice address
796 N Sunnyside Rd
Decatur, IL 62522-1156
Phone
(800) 728-5895
NPI assigned
Nov 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.040137 IL Primary

Addresses

Primary practice location

796 N Sunnyside Rd
Decatur, IL 62522-1156

Mailing address

796 N Sunnyside Rd
Decatur, IL 62522-1156
Phone (800) 728-5895

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
051.040137ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1093589848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 N SUNNYSIDE RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625221156",
            "telephone_number": "800-728-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 N SUNNYSIDE RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625221156",
            "telephone_number": "800-728-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFFEY",
        "first_name": "MELONEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.040137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.