Active NPI
Clementina Melone, RPH
- Pharmacist
- Riverhead, NY
National Provider Identifier
1881865095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046583
- Practice address
- 1150 Old Country Rd
Riverhead, NY 11901-2073 - Phone
- (631) 208-9354
- Fax
- (631) 208-9354
- NPI assigned
- Mar 14, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 046583 | NY | Primary |
Addresses
Primary practice location
1150 Old Country Rd
Riverhead, NY 11901-2073
Mailing address
1150 Old Country Rd
Riverhead, NY 11901-2073
Phone (631) 208-9354
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 |
|---|---|---|---|
| 046583 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1881865095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 OLD COUNTRY RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012073",
"telephone_number": "631-208-9354",
"fax_number": "631-208-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 OLD COUNTRY RD",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012073",
"telephone_number": "631-208-9354",
"fax_number": "631-208-9354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELONE",
"first_name": "CLEMENTINA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.