Active NPI
Melissa Hall Broome, PHARMD
- Pharmacist
- Mobile, AL
National Provider Identifier
1346833373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21700
- Practice address
- 1970 S University Blvd
Mobile, AL 36609-2924 - Phone
- (251) 666-3373
- NPI assigned
- Feb 20, 2021
- Last updated
- Feb 20, 2021
- 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 | 9756 | TN | |
| Pharmacist | 183500000X | 21700 | AL | Primary |
Addresses
Primary practice location
1970 S University Blvd
Mobile, AL 36609-2924
Mailing address
120 Sandy Ford Rd
Fairhope, AL 36532-3444
Phone (423) 834-2202
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 |
|---|---|---|---|
| 21700 | AL | MD | Pharmacist |
| 9756 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613779200000",
"number": "1346833373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SANDY FORD RD",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323444",
"telephone_number": "423-834-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 S UNIVERSITY BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366092924",
"telephone_number": "251-666-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOME",
"first_name": "MELISSA",
"middle_name": "HALL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-20",
"last_updated": "2021-02-20",
"certification_date": "2021-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "9756",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "21700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.