Melissa Viola Shiner, PHARMD CGP BCPP MHA

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

RP046286L Issued in PA

Practice address

3900 Woodland Ave
Philadelphia, PA 19104-4551

Phone

(215) 823-5800

NPI assigned

Dec 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1487075453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAKE SHORE DR",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195228504",
            "telephone_number": "484-769-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044551",
            "telephone_number": "215-823-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINER",
        "first_name": "MELISSA",
        "middle_name": "VIOLA",
        "name_prefix": "Dr.",
        "credential": "PHARMD CGP BCPP MHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "PA",
            "license": "RP046286L",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "PA",
            "license": "RP046286L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael H Shinder, DPM
• Kenneth Shindler, MD
• Shine Healthcare Group LLC
• Shine Medical Providers PC
• Shine Speech Language Pathology, LLC
• Evening Shinerock
• Aakash Tushar Shingala, MD
• Shining Gracefully Homecare LLC
• Shining Keys Royal Care Services LLC
• Brianna Shinn, MD

• Psychiatric Pharmacist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatric Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.