Alexis Christianna Meliniotis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP00009590 Issued in NM

Practice address

1206 Mechem Dr
Ruidoso, NM 88345-7206

Phone

(575) 258-2456

Fax

(575) 258-2465

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Alexis C Farris Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Sierra Blanca Pharmacy LLC

  • Community/Retail Pharmacy
  • Ruidoso, NM
  • NPI 1740549054
  NPD (past)

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1508520347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 MECHEM DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457206",
            "telephone_number": "575-258-2456",
            "fax_number": "575-258-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 MECHEM DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883457206",
            "telephone_number": "575-258-2456",
            "fax_number": "575-258-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELINIOTIS",
        "first_name": "ALEXIS",
        "middle_name": "CHRISTIANNA",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RP00009590",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NMESIS",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1206 Mechem Dr",
            "city": "Ruidoso",
            "state": "NM",
            "country_code": "US",
            "postal_code": "883457206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "FARRIS",
            "middle_name": "C",
            "prefix": "MISS",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pharmacist in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.