Mellissa Taylor, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26022217A Issued in IN

Practice address

1500 Hart St
Vincennes, IN 47591-5517

Phone

(812) 899-4111

NPI assigned

Sep 23, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1750004875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 MCDOWELL AVE",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915026",
            "telephone_number": "812-899-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HART ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915517",
            "telephone_number": "812-899-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MELLISSA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26022217A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Sullivan-Woodruff, RN
• Brianna Swab, LMT
• Mallory Tague, BSN, RN
• Georgios Tavoulareas, MD
• Laura Elizabeth Taylor, LCSW
• Jessica Tedrow
• Jill L Templin, PTA
• Andrea Marie Tennis, BSN, RN
• Allie E Thomas-Fannin, M.D.
• Alicia F Thomas, ATC

• Pharmacist in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.