Individual provider Active NPI

Melissa Nicole Eatmon, PHARMD

  • Pharmacist
  • Greenville, NC
National Provider Identifier
1487295895
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29156 Issued in NC
Practice address
705 Greenville Blvd SE
Greenville, NC 27858-5102
Phone
(252) 756-4682
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29156 NC Primary

Addresses

Primary practice location

705 Greenville Blvd SE
Greenville, NC 27858-5102

Mailing address

705 Greenville Blvd SE
Greenville, NC 27858-5102
Phone (252) 756-4682

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
29156NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1487295895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GREENVILLE BLVD SE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585102",
            "telephone_number": "252-756-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GREENVILLE BLVD SE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585102",
            "telephone_number": "252-756-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATMON",
        "first_name": "MELISSA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "29156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.