Melanie Sue Wilden, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S016015 Issued in AZ

Practice address

2360 Highway 95
Bullhead City, AZ 86442-7303

Phone

(928) 763-5858

Fax

(928) 763-0972

NPI assigned

Aug 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Bullhead City, AZ
  • NPI 1942215280
  NPD (past)

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1992010391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427303",
            "telephone_number": "928-763-5858",
            "fax_number": "928-763-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427303",
            "telephone_number": "928-763-5858",
            "fax_number": "928-763-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDEN",
        "first_name": "MELANIE",
        "middle_name": "SUE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "S016015",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Vinh Whipp, MD
• Mark William White, DDS
• Kathleen Louise Whitehead, LPC
• Wide Open MRI of Bullhead City LLC
• Wild West Kids Dental Bullhead
• Sandra Kay Williams, APRN BC
• Willmore Wellness Center LLC
• Kevin K Willmore, D.P.T.
• Wings of an Angel in-Home Care LLC
• David Wolf

• Pharmacist in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.