Active NPI
Melanie Jane Sandberg, RPH
- Pharmacist
- Fayetteville, NC
National Provider Identifier
1346527736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14127
- Practice address
- 2960 Hope Mills Rd
Fayetteville, NC 28306-8348 - Phone
- (910) 424-9213
- NPI assigned
- Nov 14, 2011
- Last updated
- Nov 14, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14127 | NC | Primary |
Addresses
Primary practice location
2960 Hope Mills Rd
Fayetteville, NC 28306-8348
Mailing address
128 Highland Dr
Angier, NC 27501-7954
Phone (919) 539-1156
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14127 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1346527736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 HIGHLAND DR",
"city": "ANGIER",
"state": "NC",
"postal_code": "275017954",
"telephone_number": "919-539-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 HOPE MILLS RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283068348",
"telephone_number": "910-424-9213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDBERG",
"first_name": "MELANIE",
"middle_name": "JANE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.