Active NPI
Melissa Prybor, PHARMD,BSPS,MBA,RPH
- Pharmacist
- Dundee, MI
National Provider Identifier
1982985206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302040372
- Practice address
- 100 Cabelas Blvd E
Walgreens #12288
Dundee, MI 48131-9693 - Phone
- (734) 529-5395
- NPI assigned
- Aug 31, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03230611 | OH | |
| Pharmacist | 183500000X | 5302040372 | MI | Primary |
Addresses
Primary practice location
100 Cabelas Blvd E
Walgreens #12288
Dundee, MI 48131-9693
Mailing address
2132 Stirrup LN Apt A102
Toledo, OH 43613-5610
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
- Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302040372 | MI | MD | Pharmacist |
| 03230611 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1982985206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2132 STIRRUP LN APT A102",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436135610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CABELAS BLVD E",
"address_2": "WALGREENS #12288",
"city": "DUNDEE",
"state": "MI",
"postal_code": "481319693",
"telephone_number": "734-529-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYBOR",
"first_name": "MELISSA",
"credential": "PHARMD,BSPS,MBA,RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-31",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03230611",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302040372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.