Active NPI
Tatiana V Melnik
- Community/Retail Pharmacy
- Destin, FL
National Provider Identifier
1639044456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PS70446
- Practice address
- 977 US - 98 E
Destin, FL 32541 - Phone
- (850) 650-4538
- NPI assigned
- Oct 9, 2025
- Last updated
- Sep 18, 2026
- 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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PS70446 | FL | Primary |
Addresses
Primary practice location
977 US - 98 E
Destin, FL 32541
Mailing address
1013 Corsica LN
Las Vegas, NV 89144-1252
Phone (702) 513-0850
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 |
|---|---|---|---|
| PS70446 | FL | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Community/Retail Pharmacy | Past | Accepting new patients |
| Walgreen Co | Community/Retail Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
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": "1759968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1639044456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 CORSICA LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891441252",
"telephone_number": "702-513-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 US - 98 E",
"city": "DESTIN",
"state": "FL",
"postal_code": "32541",
"telephone_number": "850-650-4538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELNIK",
"first_name": "TATIANA",
"middle_name": "V",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-09",
"last_updated": "2026-09-18",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PS70446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.