Active NPI
Melissa Demorris, R.PH.
- Pharmacist
- El Paso, TX
National Provider Identifier
1871969915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36244
- Practice address
- 5005 N Piedras St
Wbamc Outpatient Pharmacy
El Paso, TX 79920 - Phone
- (915) 742-2469
- NPI assigned
- Aug 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36244 | TX | Primary |
Addresses
Primary practice location
5005 N Piedras St
Wbamc Outpatient Pharmacy
El Paso, TX 79920
Mailing address
5005 N Piedras St
Wbamc Outpatient Pharmacy
El Paso, TX 79920
Phone (915) 742-2469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36244 | Other | TX | BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36244 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1871969915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"address_2": "WBAMC OUTPATIENT PHARMACY",
"city": "EL PASO",
"state": "TX",
"postal_code": "79920",
"telephone_number": "915-742-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"address_2": "WBAMC OUTPATIENT PHARMACY",
"city": "EL PASO",
"state": "TX",
"postal_code": "79920",
"telephone_number": "915-742-2469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMORRIS",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "36244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "36244",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.