DR. MELISSA FREDERICKS (NPI# 1124628136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124628136 |
| Entity Type | Individual |
| Full Name | DR. MELISSA FREDERICKS |
| Credential | PHARMD |
| Practice Address |
1705 Expressway 83 Penitas TX 78576-8626 |
| Practice Telephone | 9565801511 |
| Practice Fax Number | 9565801652 |
| Mailing Telephone | 9565801511 |
| Mailing Fax Number | 9565801652 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 57112 | TX | Pharmacy Service Providers |
| Street Address |
1705 EXPRESSWAY 83 |
| City | PENITAS |
| State | TX |
| Zip Code | 78576-8626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043496482 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1705 Expressway 83, Penitas, TX 78576 | 2008-01-16 |
| 1053551598 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1705 Expressway 83, Penitas, TX 78576-8333 | 2009-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1225342934 | Rebecca N Contreras | Clinic/Center | 701 Tom Gill Rd, Penitas, TX 78576 | 2010-08-05 |
| 1427281997 | Carlos Brito | Occupational Therapy Assistant | 17924 Sabal Palm Dr Ste 3, Penitas, TX 78576 | 2009-08-31 |
| 1295780005 | Eduardo Guzman | Family Medicine | 2308 Us Hwy 83, Ste F, Penitas, TX 78576 | 2006-05-23 |
| 1275833022 | Rebecca N Contreras | Clinic/Center | 701 Tom Gill Rd, Penitas, TX 78576 | 2010-10-27 |
| 1073648283 | Castillo & Castillo Inc | Clinic/Center | 1004 East Expressway 83, Suite A & B, Penitas, TX 78576-0203 | 2007-02-21 |
| 1578769915 | Handi M&r Construction, Inc | Contractor | 1052 Quartz Rd, Penitas, TX 78576-0965 | 2007-06-22 |
| 1396291555 | Kidding Around Therapy, Inc. | Clinic/Center | 17924 Sabal Palm Dr, Ste. 3, Penitas, TX 78576-0977 | 2016-08-28 |
| 1457824641 | Sonia Medina | Occupational Therapy Assistant | 17924 Sabal Palm Dr Ste 3, Penitas, TX 78576-0977 | 2019-01-10 |
| 1063916203 | Arnulfo Cantu Jr. | Physical Therapy Assistant | 17924 Sabal Palm Dr, Penitas, TX 78576-0977 | 2018-03-21 |
| Find all providers in zip 78576 | ||||
| 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 |
|---|---|---|---|---|
| 1104872498 | Omar Espericueta | Pharmacist | 2308 Hwy 83, Ste A, Penitas, TX 78576-8398 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316754 | Shari Diane Mcdaniel | Pharmacist | 13300 Bugatti Dr, Frisco, TX 75033-0918 | 2020-11-07 |
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1669073433 | Josephine S Asamoah | Pharmacist | 3820 Tx-64, Tyler, TX 75704-5582 | 2020-11-06 |
| 1104427848 | Isaiah Obioha | Pharmacist | 911 Nikki Dr, Cedar Hill, TX 75104-7355 | 2020-11-06 |
| 1033710876 | Vy Ngoc Tran | Pharmacist | 3726 Varna Ct, Missouri City, TX 77459-5510 | 2020-11-06 |
| 1912508748 | James E Branch | Pharmacist | 1565 Salado Trl, Weatherford, TX 76087-2162 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.