Melissa Ann Chan, PHARMD
Individual provider Active NPI Pharmacist · Travelers Rest, SC
NPI 1871731992 · NPPES record last updated Jan 27, 2009
Key facts
- NPI
- 1871731992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 011943 (SC)
- Practice address
- 119 Newkirk Way
Travelers Rest, SC 29690-8344 - Phone
- (864) 551-3858
- NPI assigned
- Jan 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011943 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011943 | SC | Yes |
Addresses
Primary practice location
119 Newkirk Way
Travelers Rest, SC 29690-8344
Mailing address
119 Newkirk Way
Travelers Rest, SC 29690-8344
Phone (864) 551-3858
Other providers in Travelers Rest, SC
- Carolina Ambulance
- Carolina Oaks Travelers Rest, LLC
- William Cathey
- Corrine Chaffee
- Martin Kin Chan
- Austin Ross Chastain
- Tonya Cheeks
- Lili Chen
- Chestnut Hill Mental Health Center Inc
- Chestnut Hill Mental Health Center, Inc
All providers in Travelers Rest, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2009. 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.