Active NPI
Melanie Amanda Fazzolari, PHARMD
- Pharmacist
- Mullica Hill, NJ
National Provider Identifier
1265297055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04093000
- Practice address
- 700 Mullica Hill Rd
Mullica Hill, NJ 08062-4413 - Phone
- (856) 508-1000
- NPI assigned
- Feb 20, 2024
- Last updated
- Feb 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI04093000 | NJ | Primary |
| Pharmacist | 183500000X | RP453832 | PA |
Addresses
Primary practice location
700 Mullica Hill Rd
Mullica Hill, NJ 08062-4413
Mailing address
137 Orlando Dr
Sicklerville, NJ 08081-5400
Phone (856) 889-4469
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 |
|---|---|---|---|
| 28RI04093000 | NJ | MD | Pharmacist |
| RP453832 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1265297055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 ORLANDO DR",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080815400",
"telephone_number": "856-889-4469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MULLICA HILL RD",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080624413",
"telephone_number": "856-508-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAZZOLARI",
"first_name": "MELANIE",
"middle_name": "AMANDA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04093000",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP453832",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mullica Hill, NJ
- Adam M Fanelle, PHARM.D.
- Michael E Fanelli, DC
- Joseph Fares, DO
- Michael Osama Farid, DO
- Abeer Fatima, DO
- Michele Lynn Fecht, M.ED.
- Feed-First Pediatric Feeding & Speech Pathology Services, LLC
- Fernandes Banerjee Shenoy Kidney Center,LLC (Banerjee Kidney Center)
- Jay Anthony Ferrara, DO
- Jonathan Ferro, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.