Melmark, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MELMARK, INC

Practice address

17413 Bellflower Blvd
Bellflower, CA 90706-6603

Phone

(562) 804-0101

Fax

(562) 804-0099

NPI assigned

Jan 30, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Peter F Takla, PHARMNPI 1114502648

Title

Ceo/Pic

Phone

(562) 804-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• I CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter F Takla, PHARMACIST

  • Pharmacist
  • Bellflower, CA
  • NPI 1114502648
  NPD Authorized official

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1982102463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17413 BELLFLOWER BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066603",
            "telephone_number": "562-804-0101",
            "fax_number": "562-804-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17413 BELLFLOWER BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066603",
            "telephone_number": "562-804-0101",
            "fax_number": "562-804-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELMARK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "TAKLA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "562-804-0101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19821024",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayme L McLeish, M.S., CCC-SLP
• Nathan J. McNeil, MD
• Adrian Thomas Medina, LVN
• Antonio Medrano
• Kalpesh R. Mehta, DO
• Memley Medical Supply Inc
• Memorial Pathology Medical Group, Inc.
• Memory Rehabilitation Medical Group Inc
• Miriam Mendez Parra
• Brenda Mendez

• Community/Retail Pharmacy in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.