Melani Ann Maxwell

Primary specialty

PharmacistTaxonomy code 183500000X

License

064635 Issued in NY

Practice address

15 W Main St
East Islip, NY 11730-2400

Phone

(631) 224-3154

NPI assigned

Feb 12, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CVS Albany LLC

  • Pharmacy
  • East Islip, NY
  • NPI 1477657294
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1720544968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302400",
            "telephone_number": "631-224-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302400",
            "telephone_number": "631-224-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MELANI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Thomas Martensen
• Mary Ozegovich LCSW PC
• Suzanne Mason-Grossmann, MHC
• Bakul N Matalia, R.PH.
• Matthew Colucci P.T.,P.C.
• Christopher B McCarthy, PHYSICAL THERAPIST
• Patrick John McCarthy I
• Adryan McClaren
• Anne Cecelia McCoy, R.N.
• Keith McFall, LMHC

• Pharmacist in East Islip, NY
• Providers in East Islip, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.