MRS. MELODY DAWN RANDOLPH (NPI# 1548305139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548305139 |
| Entity Type | Individual |
| Full Name | MRS. MELODY DAWN RANDOLPH |
| Credential | PHARM D |
| Practice Address |
1130 Walnut Street Centreville AL 35042 |
| Mailing Address |
49 Deerhaven Cir Centreville AL 35042-4690 |
| Practice Telephone | 2059264821 |
| Practice Fax Number | 2059267662 |
| Mailing Telephone | 2052250475 |
| Mailing Fax Number | 2059267662 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14834 | AL | Pharmacy Service Providers |
| Street Address |
1130 WALNUT STREET |
| City | CENTREVILLE |
| State | AL |
| Zip Code | 35042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058133 | Cahaba Medical Care Foundation | Clinic/Center | 294 Pierson Avenue, Centreville, AL 35042 | 2013-03-27 |
| 1023127867 | Phil Adams | Dentist | 260 Walnut St., Centreville, AL 35042 | 2006-08-29 |
| 1558855387 | Sajel Nuwamanya | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1912491838 | Paul Abraham | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1386138105 | Alexander Lea | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1831683747 | Whitney Hudman | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1639663453 | Julia Todd | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1891289716 | Mya Stayton | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1548754419 | Malia Swanson | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-14 |
| 1467945584 | Jasmine Heard | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-13 |
| Find all providers in zip 35042 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290270 | Hyojin Kim | Pharmacist | 6406 Creek Bed Ct, Centreville, VA 20121-3821 | 2020-09-20 |
| 1639736390 | Yun Hee Jang | Pharmacist | 5106 Travis Edward Way Apt I, Centreville, VA 20120-3067 | 2019-05-28 |
| 1780152561 | Charles Gerald Rymer | Pharmacist | 456 Highway 24 E, Centreville, MS 39631-4128 | 2018-11-09 |
| 1891288593 | Jaen Sidhom | Pharmacist | 13933 Middle Creek Pl, Centreville, VA 20121-3553 | 2018-06-07 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1811253669 | Keitha V. Speer | Pharmacist | 5215 Rushbrook Dr, Centreville, VA 20120-1770 | 2012-04-05 |
| 1841591591 | Hye Joo | Pharmacist | 13405 Midnight Blue Pl, Centreville, VA 20120-3015 | 2010-11-11 |
| 1710016233 | James L. Jelks Jr. | Pharmacist | 149 Main St., Centreville, MS 39631-0159 | 2007-03-02 |
| 1902958945 | Patricia Sterling Draper | Pharmacist | 102 S Commerce St, Centreville, MD 21617-1116 | 2007-01-18 |
| 1821699505 | John Papanastasiou | Pharmacist | 14125 Saint Germain Dr, Centreville, VA 20121-2310 | 2020-11-08 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 35042 |
Please comment or provide details below to improve the information on MRS. MELODY DAWN RANDOLPH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.