Active NPI
Melissa Anne Overly, RPH
- Pharmacist
- Minerva, OH
National Provider Identifier
1497294060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03223636
- Practice address
- 251 East St
Minerva, OH 44657-1617 - Phone
- (330) 868-6200
- Fax
- (330) 868-7600
- NPI assigned
- Feb 15, 2017
- Last updated
- Feb 15, 2017
- Sex
- Female
- 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 | 03223636 | OH | Primary |
Addresses
Primary practice location
251 East St
Minerva, OH 44657-1617
Mailing address
251 East St
Minerva, OH 44657-1617
Phone (330) 868-6200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03223636 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minerva Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1497294060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 EAST ST",
"city": "MINERVA",
"state": "OH",
"postal_code": "446571617",
"telephone_number": "330-868-6200",
"fax_number": "330-868-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 EAST ST",
"city": "MINERVA",
"state": "OH",
"postal_code": "446571617",
"telephone_number": "330-868-6200",
"fax_number": "330-868-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERLY",
"first_name": "MELISSA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03223636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minerva, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.