Individual provider Active NPI

Albert J Melita Jr., REGISTERED PHARMACIS

  • Pharmacist
  • Rochester, NY
National Provider Identifier
1366764581
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
043444 Issued in NY
Practice address
100 Elmridge Center Dr
Rochester, NY 14626-3459
Phone
(585) 227-1210
NPI assigned
Feb 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 043444 NY Primary

Addresses

Primary practice location

100 Elmridge Center Dr
Rochester, NY 14626-3459

Mailing address

44 Forest Glen Dr
Rochester, NY 14612-2276
Phone (585) 720-1671

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

LicenseStateTypeSpecialty
043444NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1366764581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FOREST GLEN DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146122276",
            "telephone_number": "585-720-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELMRIDGE CENTER DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263459",
            "telephone_number": "585-227-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELITA",
        "first_name": "ALBERT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "REGISTERED PHARMACIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "043444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.