Melissa Athanas, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

042941 Issued in NY

Practice address

4001 S Salina St
Syracuse, NY 13205-2088

Phone

(315) 469-1701

NPI assigned

Mar 7, 2010

Last updated

Mar 7, 2010By the provider in NPPES

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

Other names 1

• Melissa Pultorak 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": "1267920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267920000000",
    "number": "1831412782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 LAWSHER DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152322",
            "telephone_number": "315-469-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052088",
            "telephone_number": "315-469-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANAS",
        "first_name": "MELISSA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-07",
        "last_updated": "2010-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PULTORAK",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Associates for Women's Medicine PLLC
• At Home Independent Living, Inc.
• Nader Atallah-Yunes, M.D.
• Andrea Lynn Atcheson, PA
• George Michael Athanas, RPH
• Uzma Athar, MD
• Saad Ather, MBBS
• Krishna Saketh Athmakuri, MBBS
• Christine Athwal, MD
• Ruba Atiyeh

• Pharmacist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2010; 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.