TINA K MELONAKOS RPH PHARMD NPI 1205110376

NPI Information

NPI: 1205110376
Provider Name: TINA K MELONAKOS, RPH PHARMD
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
718 N MACOMB ST
MONROE, MI
ZIP 48162
Phone: (734) 240-5290
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Tina K Melonakos, RPH PHARMD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Monroe, MI. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. Tina K Melonakos, RPH PHARMD NPI is 1205110376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

718 N MACOMB ST
MONROE, MI
ZIP 48162-815
Phone: (734) 240-5290
Fax: (734) 240-5291

The enumeration date for this NPI number is 10/6/2011 and was last updated on 10/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835N1003X	Pharmacist	Nutrition Support	5302024423	MICHIGAN	No
2	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	5302024423	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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