Active NPI
Mela Pharmacy LLC
Doing business as Mela Pharmacy
- Pharmacy
- South Richmond Hill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MELA PHARMACY LLC
- Doing business as
- Mela Pharmacy
- Practice address
- 11003 101St Avenue
South Richmond Hill, NY 11419-1031 - Phone
- (718) 674-6161
- Fax
- (718) 674-6464
- NPI assigned
- May 11, 2023
- Last updated
- Jul 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Versha Dodwani Lohana
- Title
- President
- Phone
- (718) 674-6161
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
11003 101St Avenue
South Richmond Hill, NY 11419-1031
Mailing address
11003 101St Avenue
South Richmond Hill, NY 11419
Phone (718) 674-6161
Other names 1
- Mela Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230720000729 | NY | Part B Supplier - Pharmacy | 9436519550 | Practice locations: South Richmond Hill, NY |
| O20240315001899 | NY | DME Supplier - Pharmacy | 9436519550 | Practice locations: South Richmond Hill, NY |
National Provider Directory
National Provider DirectoryLocations
11003 101st Ave
South Richmond Hill, NY 11419
Phone (718) 674-6161
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacy Technician
- South Richmond Hill, NY
- NPI 1376236216
-
- Pharmacist
- South Richmond Hill, NY
- NPI 1013794973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688601600000",
"number": "1619667615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11003 101ST AVENUE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "11419",
"telephone_number": "718-674-6161",
"fax_number": "718-674-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11003 101ST AVENUE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191031",
"telephone_number": "718-674-6161",
"fax_number": "718-674-6464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELA PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-11",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A",
"authorized_official_last_name": "LOHANA",
"authorized_official_first_name": "VERSHA",
"authorized_official_middle_name": "DODWANI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-674-6161"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mela Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mela Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.