Active NPI
Melissa Hollingsworth Chandler, PHARM.D, MHA
- Pharmacist
- Kingwood, TX
National Provider Identifier
1285916098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68206
- Practice address
- 22730 Professional Dr Ste 110
Kingwood, TX 77339-6004 - Phone
- (281) 312-8585
- NPI assigned
- Sep 16, 2011
- Last updated
- Apr 24, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019493 | LA | |
| Pharmacist | 183500000X | 68206 | TX | Primary |
Addresses
Primary practice location
22730 Professional Dr Ste 110
Kingwood, TX 77339-6004
Mailing address
1806 Campbell St
Houston, TX 77026-6704
Phone (318) 372-9786
Other names 1
- Melissa Hollinsgworth Disedare
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 |
|---|---|---|---|
| 68206 | TX | MD | Pharmacist |
| 019493 | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients | |
| Louisiana 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": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1285916098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 CAMPBELL ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770266704",
"telephone_number": "318-372-9786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22730 PROFESSIONAL DR STE 110",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773396004",
"telephone_number": "281-312-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "MELISSA",
"middle_name": "HOLLINGSWORTH",
"name_prefix": "Mrs.",
"credential": "PHARM.D, MHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "019493",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "DISEDARE",
"middle_name": "HOLLINSGWORTH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.