Active NPI
Melissa Villagrana, PHARMD
- Pharmacist
- Meridianville, AL
National Provider Identifier
1134723596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21002
- Practice address
- 12275 Highway 231 431 N
Meridianville, AL 35759-1205 - Phone
- (256) 828-8550
- Fax
- (256) 828-8502
- NPI assigned
- Nov 25, 2020
- Last updated
- Nov 25, 2020
- Sex
- Female
- 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 | 21002 | AL | Primary |
Addresses
Primary practice location
12275 Highway 231 431 N
Meridianville, AL 35759-1205
Mailing address
12275 Highway 231 431 N
Meridianville, AL 35759-1205
Phone (256) 828-8550
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21002 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Current | Accepting new patients | |
| Alabama CVS Pharmacy LLC | Past | Accepting new patients |
Locations
12275 Highway 231 431 N
Meridianville, AL 35759
Phone (256) 828-8550
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1134723596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12275 HIGHWAY 231 431 N",
"city": "MERIDIANVILLE",
"state": "AL",
"postal_code": "357591205",
"telephone_number": "256-828-8550",
"fax_number": "256-828-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12275 HIGHWAY 231 431 N",
"city": "MERIDIANVILLE",
"state": "AL",
"postal_code": "357591205",
"telephone_number": "256-828-8550",
"fax_number": "256-828-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAGRANA",
"first_name": "MELISSA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridianville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.