Individual provider Active NPI

Melville A. Badway, R.PH., CCP

  • Pharmacist
  • Palm Beach Gardens, FL
National Provider Identifier
1245249465
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS45516 Issued in FL
Practice address
7870 Arbor Crest Way
Palm Beach Gardens, FL 33412-2467
Phone
(610) 905-4038
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI01779500 NJ
Pharmacist 183500000X RP042215R PA
Pharmacist 183500000X PS45516 FL Primary

Addresses

Primary practice location

7870 Arbor Crest Way
Palm Beach Gardens, FL 33412-2467

Mailing address

7870 Arbor Crest Way
Palm Beach Gardens, FL 33412-2467
Phone (610) 905-4038

Other practice location 1

413 S Main St
Phillipsburg, NJ 08865-3018
Phone (908) 454-0541

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS45516FLMDPharmacist
28RI01779500NJMDPharmacist
RP042215RPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Pharmacy LLC Current 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1245249465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7870 ARBOR CREST WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334122467",
            "telephone_number": "610-905-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 ARBOR CREST WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334122467",
            "telephone_number": "610-905-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 S Main St",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088653018",
            "country_code": "US",
            "telephone_number": "908-454-0541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADWAY",
        "first_name": "MELVILLE",
        "middle_name": "A.",
        "credential": "R.PH., CCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01779500",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP042215R",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS45516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.

Verify at the official NPI Registry.