Active NPI
Melvin McCue
- Pharmacist
- Gouverneur, NY
National Provider Identifier
1306168331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 050228
- Practice address
- 1226 US Highway 11
Gouverneur, NY 13642-3502 - Phone
- (315) 287-3000
- NPI assigned
- Feb 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 050228 | NY | Primary |
Addresses
Primary practice location
1226 US Highway 11
Gouverneur, NY 13642-3502
Mailing address
1226 US Highway 11
Gouverneur, NY 13642-3502
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
| License | State | Type | Specialty |
|---|---|---|---|
| 050228 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Past | Accepting new patients | |
| Proact Pharmacy Services, Inc. | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Lowville, NY
- NPI 1811004096
-
- Mail Order Pharmacy
- Gouverneur, NY
- NPI 1154438877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1306168331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 US HIGHWAY 11",
"city": "GOUVERNEUR",
"state": "NY",
"postal_code": "136423502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 US HIGHWAY 11",
"city": "GOUVERNEUR",
"state": "NY",
"postal_code": "136423502",
"telephone_number": "315-287-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUE",
"first_name": "MELVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-17",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "050228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gouverneur, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.