Nicklaus Adam McMellon, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS56672 Issued in FL

Practice address

8986 Ortega Park Dr
Navarre, FL 32566-4141

Phone

(850) 936-6446

NPI assigned

Jan 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Locations

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.

• RX Express Pharmacy of Navarre Inc

  • Community/Retail Pharmacy
  • Navarre, FL
  • NPI 1073588380
  NPD
• RX Express Pharmacy of Navarre Inc

  • Long Term Care Pharmacy
  • Navarre, FL
  • NPI 1528895265
  NPD

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1548858830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8986 ORTEGA PARK DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325664141",
            "telephone_number": "850-936-6446",
            "fax_number": "850-936-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8986 ORTEGA PARK DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325664141",
            "telephone_number": "850-936-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMELLON",
        "first_name": "NICKLAUS",
        "middle_name": "ADAM",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS56672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann McComak, FNP-C
• Catharine McCudden
• Mary Ellen McCullough-List, RBT
• Malcolm James McDougall, PT
• Jamie McKenna
• Paul McMellon, RPH
• Brandi-Symone Taylor McMullen, BCBA
• Tanner McNaughton
• Medical Services of Northwest Florida, Inc.
• Cortney Melvin

• Pharmacist in Navarre, FL
• Providers in Navarre, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.