Active NPI
Melissa N McCoy, PHARMD
- Pharmacist
- Bartlesville, OK
National Provider Identifier
1174167753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16690
- Practice address
- 3711 E Frank Phillips Blvd
Bartlesville, OK 74006-2417 - Phone
- (918) 333-5217
- Fax
- (918) 333-5285
- NPI assigned
- Nov 6, 2019
- Last updated
- Nov 6, 2019
- 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 | 16690 | OK | Primary |
Addresses
Primary practice location
3711 E Frank Phillips Blvd
Bartlesville, OK 74006-2417
Mailing address
3711 E Frank Phillips Blvd
Bartlesville, OK 74006-2417
Phone (918) 333-5217
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Rx10491@cvshealth.com | Direct |
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 |
|---|---|---|---|
| 16690 | OK | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Oklahoma CVS Pharmacy LLC | Past | Accepting new patients |
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": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1174167753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 E FRANK PHILLIPS BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062417",
"telephone_number": "918-333-5217",
"fax_number": "918-333-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 E FRANK PHILLIPS BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062417",
"telephone_number": "918-333-5217",
"fax_number": "918-333-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "MELISSA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-06",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "16690",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Rx10491@cvshealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3711 E Frank Phillips Blvd",
"city": "Bartlesville",
"state": "OK",
"country_code": "US",
"postal_code": "740062417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.