Active NPI
Melinda Elaine Micklewright, BCPS
- Pharmacotherapy Pharmacist
- Orlando, FL
National Provider Identifier
1558304378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PS 19469
- Practice address
- 5201 Raymond St
Orlando, FL 32803-8208 - Phone
- (407) 629-1599
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PS 19469 | FL | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 0202006396 | VA |
Addresses
Primary practice location
5201 Raymond St
Orlando, FL 32803-8208
Mailing address
5201 Raymond St
Orlando, FL 32803-8208
Phone (407) 629-1599
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 19469 | FL | MD | Pharmacotherapy Pharmacist |
| 0202006396 | VA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1558304378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328038208",
"telephone_number": "407-629-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328038208",
"telephone_number": "407-629-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKLEWRIGHT",
"first_name": "MELINDA",
"middle_name": "ELAINE",
"credential": "BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PS 19469",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "VA",
"license": "0202006396",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.