JACQUELINE MELLYN (NPI# 1689987760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689987760 |
| Entity Type | Individual |
| Full Name | JACQUELINE MELLYN |
| Credential | RPH |
| Practice Address |
1935 N Stapley Dr Mesa AZ 85203-2749 |
| Practice Telephone | 4806104173 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S007339 | AZ | Pharmacy Service Providers |
| Street Address |
1935 N STAPLEY DR |
| City | MESA |
| State | AZ |
| Zip Code | 85203-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487699492 | Smiths Food & Drug Centers Inc | Pharmacy | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2006-06-17 |
| 1841771961 | Taylor Lee Heintz | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2018-08-27 |
| 1437549961 | Jolynn Jennie Briles | Nurse Practitioner | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2015-02-04 |
| 1578966685 | Tara Disanto | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2014-10-02 |
| 1346586443 | Kurt William Adkins | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2012-12-17 |
| 1881938660 | The Little Clinic of Arizona LLC | Physician Assistant | 1935 N Stapley Dr, Mesa, AZ 85203 | 2012-11-19 |
| 1982960860 | Gregg A Myers | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2012-04-05 |
| 1912287095 | Fry's Pharmacy | Pharmacy | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2011-08-22 |
| 1164753596 | Natalya S Elevich | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2010-01-25 |
| 1851625685 | Jennifer Penrose | Pharmacist | 1935 N Stapley Dr, Mesa, AZ 85203-2749 | 2009-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| 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 |
|---|---|---|---|---|
| 1851992838 | Leila Cameron | Pharmacist | 1742 W Belfast St, Mesa, AZ 85201-6138 | 2020-11-05 |
| 1598247652 | Tyler Barton | Pharmacist | 240 W Baseline Rd # 3799, Mesa, AZ 85210-6107 | 2018-09-05 |
| 1720565393 | Andrew T Rayer | Pharmacist | 525 W Brown Rd Fl 7, Mesa, AZ 85201-3202 | 2018-07-25 |
| 1396264289 | Mercedes Maltbie | Pharmacist | 1915 South Power Road, Mesa, AZ 85206 | 2017-09-12 |
| 1558887430 | Lugina Bianca Mendez-harper | Pharmacist | 10707 E Deawalter Ave, Mesa, AZ 85212-8068 | 2017-08-22 |
| 1548645823 | Michelle Nguyen | Pharmacist | 3718 E Huber St, Mesa, AZ 85205-3901 | 2015-07-28 |
| 1366842239 | Hillary Lynn Coahran | Pharmacist | 2809 S. Sossaman Rd., Mesa, AZ 85212 | 2014-08-28 |
| 1386044493 | Liane Fossen | Pharmacist | 7026 E Roland St, Mesa, AZ 85207-1280 | 2014-08-26 |
| 1366859498 | Devan Hansen | Pharmacist | 1130 W Southern Ave, Mesa, AZ 85210-4993 | 2014-07-21 |
| 1386058154 | Robert G Hayes | Pharmacist | 5001 E Main St Lot 880, Mesa, AZ 85205-1320 | 2014-06-19 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on JACQUELINE MELLYN.
| 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.