Melissa June Secor, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

048090 Issued in NY

Practice address

1 Crum Elbow Rd
Box 234
Hyde Park, NY 12538-2806

Phone

(845) 229-4312

Fax

(845) 229-4319

NPI assigned

Dec 19, 2007

Last updated

Dec 19, 2007By the provider in NPPES

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 names 1

• Melissa June Yurchuk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1700060225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CHAPEL HILL RD",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282148",
            "telephone_number": "845-691-2708",
            "fax_number": "845-229-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRUM ELBOW RD",
            "address_2": "BOX 234",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125382806",
            "telephone_number": "845-229-4312",
            "fax_number": "845-229-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECOR",
        "first_name": "MELISSA",
        "middle_name": "JUNE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "048090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "YURCHUK",
            "middle_name": "JUNE",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sean L. Martin, D.C.,P.C.
• Cynthia Lynn Shellhammer, LPN
• Emily Sheridan
• Marla Ann Sherman, LCSW
• Nami Shin, DCN, LDN, CNS
• Lauren Silverman

• Pharmacist in Hyde Park, NY
• Providers in Hyde Park, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.