Individual provider Active NPI

Melissa Marie Pontzer, RPH

  • Pharmacist
  • Binghamton, NY
National Provider Identifier
1497086615
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
048379-1 Issued in NY
Practice address
163 Robinson St
Binghamton, NY 13904
Phone
(607) 722-4999
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 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 048379-1 NY Primary

Addresses

Primary practice location

163 Robinson St
Binghamton, NY 13904

Mailing address

54 Clearview PL
Binghamton, NY 13901-6122
Phone (607) 648-5131

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
048379-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1497086615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CLEARVIEW PL",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139016122",
            "telephone_number": "607-648-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13904",
            "telephone_number": "607-722-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTZER",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048379-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.