Individual provider Active NPI

Melanie Anne Nicolay, PHARMD

  • Pharmacist
  • Saint Bernard, LA
National Provider Identifier
1356895437
Registry record updated Aug 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E14602 Issued in MS
Practice address
2119 Sylvia Blvd
Saint Bernard, LA 70085-5148
Phone
(504) 554-3535
NPI assigned
Aug 7, 2016
Last updated
Aug 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.021611 LA
Pharmacist 183500000X E14602 MS Primary

Addresses

Primary practice location

2119 Sylvia Blvd
Saint Bernard, LA 70085-5148

Mailing address

2119 Sylvia Blvd
Saint Bernard, LA 70085-5148
Phone (504) 554-3535

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

LicenseStateTypeSpecialty
PST.021611LAMDPharmacist
E14602MSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1470528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470528000000",
    "number": "1356895437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 SYLVIA BLVD",
            "city": "SAINT BERNARD",
            "state": "LA",
            "postal_code": "700855148",
            "telephone_number": "504-554-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 SYLVIA BLVD",
            "city": "SAINT BERNARD",
            "state": "LA",
            "postal_code": "700855148",
            "telephone_number": "504-554-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAY",
        "first_name": "MELANIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-07",
        "last_updated": "2016-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.021611",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E14602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Bernard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2016; 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.