Individual provider Active NPI

Melissa Danette Harris-Craig, PHARMD

  • Pharmacist
  • Mount Vernon, KY
National Provider Identifier
1922494699
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
012889 Issued in KY
Practice address
1040 Richmond St
Mount Vernon, KY 40456-2307
Phone
(606) 256-9207
NPI assigned
Apr 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 012889 KY Primary

Addresses

Primary practice location

1040 Richmond St
Mount Vernon, KY 40456-2307

Mailing address

384 Spiro Rd
Mount Vernon, KY 40456-6305
Phone (606) 308-4998

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

LicenseStateTypeSpecialty
012889KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1922494699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 SPIRO RD",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404566305",
            "telephone_number": "606-308-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RICHMOND ST",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562307",
            "telephone_number": "606-256-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-CRAIG",
        "first_name": "MELISSA",
        "middle_name": "DANETTE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "012889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.