Active NPI
Melinda Berriman, RPH
- Pharmacist
- Henderson, NV
National Provider Identifier
1962619627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14595
- Practice address
- 2851 N Green Valley Pkwy
Henderson, NV 89014-0402 - Phone
- (702) 435-9850
- Fax
- (702) 435-8520
- NPI assigned
- May 16, 2007
- Last updated
- Jul 8, 2007
- 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 | 14595 | NV | Primary |
Addresses
Primary practice location
2851 N Green Valley Pkwy
Henderson, NV 89014-0402
Mailing address
535 Trimley CT
Henderson, NV 89014-3865
Phone (702) 433-5512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14595 | Other | NV | PHARMACY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14595 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962619627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 TRIMLEY CT",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890143865",
"telephone_number": "702-433-5512",
"fax_number": "702-435-8520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 N GREEN VALLEY PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890140402",
"telephone_number": "702-435-9850",
"fax_number": "702-435-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIMAN",
"first_name": "MELINDA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "14595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "14595",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.