Active NPI
David Melancon, PHARMD
- Pharmacist
- Raynham, MA
National Provider Identifier
1184914038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH25829
- Practice address
- 266 New State Hwy
Raynham, MA 02767-5446 - Phone
- (508) 824-1361
- Fax
- (508) 824-8779
- NPI assigned
- Apr 12, 2011
- Sex
- Male
- Sole proprietor
- No
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 | PH25829 | MA | Primary |
Addresses
Primary practice location
266 New State Hwy
Raynham, MA 02767-5446
Mailing address
266 New State Hwy
Raynham, MA 02767-5446
Phone (508) 824-1361
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 |
|---|---|---|---|
| PH25829 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxi Drug Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1184914038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 NEW STATE HWY",
"city": "RAYNHAM",
"state": "MA",
"postal_code": "027675446",
"telephone_number": "508-824-1361",
"fax_number": "508-824-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 NEW STATE HWY",
"city": "RAYNHAM",
"state": "MA",
"postal_code": "027675446",
"telephone_number": "508-824-1361",
"fax_number": "508-824-8779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELANCON",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-12",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH25829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raynham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.