Individual provider Active NPI

Melissa Diebold, PHARMD

  • Pharmacist
  • Haverford, PA
National Provider Identifier
1942007265
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP045914L Issued in PA
Practice address
354 W Lancaster Ave Ste 120
Haverford, PA 19041-1300
Phone
(484) 270-6300
Fax
(484) 270-6303
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP045914L PA Primary

Addresses

Primary practice location

354 W Lancaster Ave Ste 120
Haverford, PA 19041-1300

Mailing address

475 Marlbridge Rd
Bryn Mawr, PA 19010-1143
Phone (215) 837-3866

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
RP045914LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Pharmacy Services LLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

354 W Lancaster Ave
Ste 120
Haverford, PA 19041
Phone (484) 270-6300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1942007265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 MARLBRIDGE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101143",
            "telephone_number": "215-837-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 W LANCASTER AVE STE 120",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411300",
            "telephone_number": "484-270-6300",
            "fax_number": "484-270-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEBOLD",
        "first_name": "MELISSA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP045914L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.