SUSAN M MELLICK (NPI# 1710275649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710275649 |
| Entity Type | Individual |
| Full Name | SUSAN M MELLICK |
| Credential | RPH |
| Practice Address |
930 Martin Luther King Pkwy Durham NC 27713-3450 |
| Practice Telephone | 9195446590 |
| Practice Fax Number | 9195446497 |
| Mailing Telephone | 9195446590 |
| Mailing Fax Number | 9195446497 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18591 | NC | Pharmacy Service Providers |
| Street Address |
930 MARTIN LUTHER KING PKWY |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821461955 | Alisa Rose | Pharmacist | 930 Martin Luther King Pkwy, Durham, NC 27713-3450 | 2015-11-11 |
| 1225326168 | Ahmed Abrahim | Pharmacist | 930 Martin Luther King Pkwy, Durham, NC 27713-3450 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| 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 |
|---|---|---|---|---|
| 1518566066 | Amitkumar Prahaladbhai Patel | Pharmacist | 5450 New Hope Commons Dr # 2137, Durham, NC 27707-9716 | 2020-10-25 |
| 1073127445 | Yanying Yang | Pharmacist | 506 Turmeric Ln, Durham, NC 27713-3137 | 2020-09-03 |
| 1255986550 | Sharmeen Ali | Pharmacist | 1109 Hwy 54, Durham, NC 27703-2770 | 2019-08-05 |
| 1972023174 | Mary Elizabeth Durham | Pharmacist | 14221 Duke Clinic, Durham, NC 27710-0001 | 2017-06-20 |
| 1003348301 | Nirali Patel | Pharmacist | 1313 Catch Fly Ln, Durham, NC 27713-2553 | 2017-03-28 |
| 1518410927 | Charles William Hachmeister IIi | Pharmacist | 300 Blackwell St Apt 304, Durham, NC 27701-3991 | 2016-08-02 |
| 1720531544 | Brittany Ann Lawson | Pharmacist | 2816 Erwin Rd, Suite 105, Durham, NC 27705-4577 | 2016-07-28 |
| 1528411568 | Paul Wilkins Mccaskill | Pharmacist | 100 Glengary Ct Apt 201, Durham, NC 27707-5942 | 2016-07-14 |
| 1891144416 | Jordan R Wood | Pharmacist | 1700 E Nc Highway 54, Durham, NC 27713-2107 | 2016-06-04 |
| 1508234980 | Sara Britnell | Pharmacist | 2 Marsh Landing Ct, Durham, NC 27703-6717 | 2015-09-02 |
| Find all providers in DURHAM | ||||
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| 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.