Active NPI
Ryan Mellott, PHARMD
- Pharmacist
- Springfield, OH
National Provider Identifier
1427335207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03328605
- Practice address
- 2609 E Main St
Springfield, OH 45503 - Phone
- (937) 322-7586
- NPI assigned
- Nov 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03328605 | OH | Primary |
Addresses
Primary practice location
2609 E Main St
Springfield, OH 45503
Mailing address
2609 E Main St
Springfield, OH 45503-5114
Phone (937) 322-7586
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 |
|---|---|---|---|
| 03328605 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1427335207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 E MAIN ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455035114",
"telephone_number": "937-322-7586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 E MAIN ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45503",
"telephone_number": "937-322-7586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLOTT",
"first_name": "RYAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-08",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03328605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
- Tamieka Mebane
- Med-Ox Home Medical
- Med-Trans, Inc.
- Pamela E Meermans, MSW
- Meijer Stores Limited Partnership (Meijer Pharmacy #066)
- Mental Health Services for Clark and Madison Co
- Mental Health Services for Clark and Madison Counties Inc
- Mental Health Services for Clark Co Inc (Mental Health Services for Clark and Madison Cos, Inc)
- Mental Health Services for Clark Co Inc (Mental Health Services for Clark and Madison Cos, Inc)
- Mental Health Services for Clark Co Inc (Mental Health Services for Clark and Madison Counties, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.