Individual provider Active NPI

Melissa Ann Calandrella

  • Pharmacy
  • Great Neck, NY
National Provider Identifier
1255083101
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
048295 Issued in NY
Practice address
200 Community Dr
Great Neck, NY 11021-5510
Phone
(516) 414-3900
Fax
(516) 414-3891
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 048295 NY Primary

Addresses

Primary practice location

200 Community Dr
Great Neck, NY 11021-5510

Mailing address

24524A 76TH Ave
Bellerose, NY 11426-1867
Phone (917) 375-7401

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL mcalandr@northwell.edu RegionCare Inc.
Other URL mcalandr@northwell.edu RegionCare Inc.

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

State licenses

LicenseStateTypeSpecialty
048295NYMDPharmacy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1255083101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24524A 76TH AVE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261867",
            "telephone_number": "917-375-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215510",
            "telephone_number": "516-414-3900",
            "fax_number": "516-414-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALANDRELLA",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "048295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mcalandr@northwell.edu",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "RegionCare Inc.",
            "address_1": "200 Community Dr",
            "city": "Great Neck",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110215510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mcalandr@northwell.edu",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "RegionCare Inc.",
            "address_1": "200 Community Dr",
            "city": "Great Neck",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110215510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.