Melissa Wieand

Individual provider Active NPI Pharmacy Technician · Alden, NY

NPI 1407582869 · NPPES record last updated Jul 28, 2022

Key facts

NPI
1407582869
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
Practice address
13090 Broadway St
Alden, NY 14004-1202
Phone
(716) 937-9141
Fax
(716) 937-4728
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Eckerd Corporation Past
since Jul 31, 2022
Accepting new patients
Eckerd Corporation Past
since Jul 31, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X Yes

Addresses

Primary practice location

13090 Broadway St
Alden, NY 14004-1202

Mailing address

13090 Broadway St
Alden, NY 14004-1202
Phone (716) 937-9141

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://thehub.riteaid.com/assoc/ Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2022.

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1407582869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13090 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041202",
            "telephone_number": "716-937-9141",
            "fax_number": "716-937-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041202",
            "telephone_number": "716-937-9141",
            "fax_number": "716-937-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEAND",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://thehub.riteaid.com/assoc/",
            "affiliation": "N",
            "endpointDescription": "The Rite Aid Hub",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13090 Broadway St",
            "city": "Alden",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140041202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alden, NY

All providers in Alden, NY · Pharmacy Technician in New York

Sources for this page

Verify at the official NPI Registry.