Active NPI
Phuong-Quyen Mellado, PHARMD
- Psychiatric Pharmacist
- Battle Creek, MI
National Provider Identifier
1912554585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 051.302389
- Practice address
- 5500 Armstrong Rd
Battle Creek, MI 49037-7314 - Phone
- (269) 966-5600
- NPI assigned
- Aug 19, 2019
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 051.302389 | IL | Primary |
Addresses
Primary practice location
5500 Armstrong Rd
Battle Creek, MI 49037-7314
Mailing address
5500 Armstrong Rd
Battle Creek, MI 49037-7314
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.302389 | IL | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1912554585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 ARMSTRONG RD",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490377314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 ARMSTRONG RD",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490377314",
"telephone_number": "269-966-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLADO",
"first_name": "PHUONG-QUYEN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "IL",
"license": "051.302389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.