Melody Thompson Bolton, R.PH.
Individual provider Active NPI Pharmacist · Baker, FL
NPI 1710028865 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710028865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS27821 (FL)
- Practice address
- 5809 Highway 189 N
Baker, FL 32531-2501 - Phone
- (850) 537-6266
- Fax
- (850) 537-6350
- NPI assigned
- Feb 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS27821 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health-Smart Pharmacy Inc. | Current | Accepting new patients |
Locations
5809 Highway 189 N
Baker, FL 32531
Phone (850) 537-6266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS27821 | FL | Yes |
Addresses
Primary practice location
5809 Highway 189 N
Baker, FL 32531-2501
Mailing address
795 Melton Rd
Baker, FL 32531-5323
Phone (850) 537-4259
Other providers in Baker, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.