Melissa Ann Cline, D.PH.
Individual provider Active NPI Pharmacist · Harrogate, TN
NPI 1356694699 · NPPES record last updated Oct 24, 2012
Key facts
- NPI
- 1356694699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8510 (TN)
- Practice address
- 7030 Cumberland Gap Pkwy
Harrogate, TN 37752-8232 - Phone
- (423) 869-4707
- Fax
- (423) 869-4708
- NPI assigned
- Oct 24, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010799 | KY | MD | Pharmacist |
| 8510 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Shops, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8510 | TN | Yes |
| Pharmacist | 183500000X | 010799 | KY |
Addresses
Primary practice location
7030 Cumberland Gap Pkwy
Harrogate, TN 37752-8232
Mailing address
7030 Cumberland Gap Pkwy
Harrogate, TN 37752-8232
Phone (423) 869-4707
Other providers in Harrogate, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.