Active NPI
Konstantinos Melanidis, RPH
- Pharmacist
- Milford, CT
National Provider Identifier
1104102144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0006508
- Practice address
- 1718 Boston Post Rd
Milford, CT 06460-2718 - Phone
- (203) 701-3051
- NPI assigned
- Oct 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 0006508 | CT | Primary |
Addresses
Primary practice location
1718 Boston Post Rd
Milford, CT 06460-2718
Mailing address
14 Carmel CT
Madison, CT 06443-1791
Phone (203) 430-7269
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 |
|---|---|---|---|
| 0006508 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1104102144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CARMEL CT",
"city": "MADISON",
"state": "CT",
"postal_code": "064431791",
"telephone_number": "203-430-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 BOSTON POST RD",
"city": "MILFORD",
"state": "CT",
"postal_code": "064602718",
"telephone_number": "203-701-3051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELANIDIS",
"first_name": "KONSTANTINOS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "0006508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.