Active NPI
Melissa Ann Gomez, PHARMD
- Pharmacist
- Tucson, AZ
National Provider Identifier
1154726594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S016937
- Practice address
- 1260 E Tucson Marketplace Blvd
Tucson, AZ 85713-6508 - Phone
- (520) 917-3105
- Fax
- (520) 917-1956
- NPI assigned
- Oct 28, 2014
- Last updated
- Oct 28, 2014
- 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 | S016937 | AZ | Primary |
Addresses
Primary practice location
1260 E Tucson Marketplace Blvd
Tucson, AZ 85713-6508
Mailing address
7438 S Madera Village Dr
Tucson, AZ 85747-5707
Phone (520) 661-3144
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 |
|---|---|---|---|
| S016937 | AZ | MD | Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Tucson, AZ
- NPI 1841693462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1154726594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7438 S MADERA VILLAGE DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857475707",
"telephone_number": "520-661-3144",
"fax_number": "520-917-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 E TUCSON MARKETPLACE BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136508",
"telephone_number": "520-917-3105",
"fax_number": "520-917-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S016937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.