Mellissa Petit

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

36641 Issued in TX

Practice address

24350 Kuykendahl Rd
Tomball, TX 77375-5119

Phone

(281) 205-0533

Fax

(281) 205-0839

NPI assigned

Nov 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kroger Texas LP

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1407747439
  NPD (past)
• Kroger Texas LP

  • Community/Retail Pharmacy
  • Tomball, TX
  • NPI 1861813354
  NPD (past)
• Walgreen Co

  • Pharmacy
  • The Woodlands, TX
  • NPI 1134134299
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1295062859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24350 KUYKENDAHL RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755119",
            "telephone_number": "281-205-0533",
            "fax_number": "281-205-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24350 KUYKENDAHL RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755119",
            "telephone_number": "281-205-0533",
            "fax_number": "281-205-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIT",
        "first_name": "MELLISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "36641",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "36641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peniel Health Services Corporation
• Katreen Peria
• Chelsea Nicole Perry, PA
• Perseverance Heatlh Innovation LTD
• Chelsea Irene Peterson, PA
• Devin Pettiet
• Tara Grace Pfeiffer, SLP-ASSISTANT
• Julianna Baochau Pham, L.AC
• Khanh Pham, OD
• Peter A. Pham, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Tomball, TX
• Providers in Tomball, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.