Active NPI
Melissa Gauda
- Pharmacist
- Van Buren, AR
National Provider Identifier
1891398681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD13441
- Practice address
- 2015 Fayetteville Rd
Van Buren, AR 72956-6537 - Phone
- (479) 471-1608
- Fax
- (479) 471-1658
- NPI assigned
- Nov 16, 2020
- 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 | PD13441 | AR | Primary |
Addresses
Primary practice location
2015 Fayetteville Rd
Van Buren, AR 72956-6537
Mailing address
706 SW Sterling PL
Bentonville, AR 72712-7773
Phone (716) 225-1597
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD13441 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Arkansas CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1891398681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 SW STERLING PL",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127773",
"telephone_number": "716-225-1597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 FAYETTEVILLE RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729566537",
"telephone_number": "479-471-1608",
"fax_number": "479-471-1658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUDA",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD13441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.