Melody Heard
Individual provider Active NPI Pharmacist · Canton, TX
NPI 1104428564 · NPPES record last updated Nov 11, 2020
Key facts
- NPI
- 1104428564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 32040 (TX)
- Practice address
- 603 E State Highway 243
Canton, TX 75103-2420 - Phone
- (903) 567-6578
- NPI assigned
- Nov 11, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 32040 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32040 | TX | Yes |
Addresses
Primary practice location
603 E State Highway 243
Canton, TX 75103-2420
Mailing address
1867 VZ County Road 2205
Canton, TX 75103-5334
Phone (903) 340-4068
Other providers in Canton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2020. 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.