Individual provider Active NPI

Melissa Anne Ford, RPH

  • Pharmacist
  • Latham, NY
National Provider Identifier
1912183963
Registry record updated Jan 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
046864 Issued in NY
Practice address
750 New Loudon Rd
Latham, NY 12110-4015
Phone
(518) 785-5878
Fax
(518) 785-0051
NPI assigned
Jan 20, 2008
Last updated
Jan 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 046864 NY Primary

Addresses

Primary practice location

750 New Loudon Rd
Latham, NY 12110-4015

Mailing address

750 New Loudon Rd
Latham, NY 12110-4015
Phone (518) 785-5878

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

LicenseStateTypeSpecialty
046864NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200787200000",
    "number": "1912183963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104015",
            "telephone_number": "518-785-5878",
            "fax_number": "518-785-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104015",
            "telephone_number": "518-785-5878",
            "fax_number": "518-785-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-20",
        "last_updated": "2008-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.