DR. GLEN MICHAEL MELICK (NPI# 1902020175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902020175 |
Entity Type | Individual |
Full Name | DR. GLEN MICHAEL MELICK |
Credential | PHARMD |
Practice Address |
255 Phillipi Rd Columbus OH 43228-1307 |
Mailing Address |
6145 Watkins Rd Sw Pataskala OH 43062-8452 |
Practice Telephone | 6142785563 |
Mailing Telephone | 7409273136 |
Enumeration Date | 2007-04-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
03311829 | OH | Pharmacy Service Providers |
Street Address |
255 PHILLIPI RD |
City | COLUMBUS |
State | OH |
Zip Code | 43228-1307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750444501 | Jessica H Lee | Pharmacist | 255 Phillipi Rd, Columbus, OH 43228-1307 | 2006-12-19 |
1053805770 | Sheryl L Clemens | Pharmacist | 255 Phillipi Rd, Columbus, OH 43228-1307 | 2018-06-16 |
1184035644 | Jody Gary | Pharmacist | 255 Phillipi Rd, Columbus, OH 43228-1307 | 2014-05-17 |
1477855773 | Mah Pharmacy LLC | Pharmacy | 255 Phillipi Rd, Suite 400, Columbus, OH 43228-1307 | 2010-11-19 |
1942449087 | Renita Porter | Pharmacist | 255 Phillipi Rd, Columbus, OH 43228-1307 | 2009-02-12 |
1790973733 | Manisha K Bhatt | Pharmacist | 255 Phillipi Rd, Columbus, OH 43228-1307 | 2007-10-03 |
1083801112 | Eric Michael Dyarmett | Pharmacist | 255 Phillipi Rd, Columbus, OH 43228-1307 | 2007-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
Find all providers in zip 43228 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346781218 | Jarett Szczepanski | Pharmacist | 410 West Tenth Avenue, 368 Doan Hall, Ohio State University Medical Center Pharmacy, Columbus, OH 43210 | 2017-03-13 |
1366802373 | Jennifer Pierpont | Pharmacist | 81 Brevoort Rd, Columbus, OH 43214-3823 | 2016-03-03 |
1669736286 | Bharti Singh | Pharmacist | 2100 Comer Ave, 1800 Building, Ambulatory Care Pharmacy, Columbus, GA 31904 | 2012-06-28 |
1730442005 | Laura Susan Cain | Pharmacist | 2030 40th St, Columbus, GA 31904-7308 | 2012-06-20 |
1568597094 | Stephanie Gibson | Pharmacist | 155 East Broad Street, Suite 1700, Columbus, OH 43215 | 2007-02-23 |
1588660518 | Bella H. Mehta | Pharmacist | 456 W 10th Ave, Rm 1970a, Osu Clinical Partners Program, Columbus, OH 43210 | 2005-06-23 |
1467458786 | Maria Christina Pruchnicki | Pharmacist | 456 W 10th Ave, # 1970a, Columbus, OH 43210-1240 | 2005-06-22 |
1639175953 | Christine Cummins Murphy | Pharmacist | 500 W 12th Ave, # A203, Columbus, OH 43210-1214 | 2005-06-22 |
1083610307 | Ruth Eileen Emptage | Pharmacist | 1699 W Mound St, Columbus, OH 43223-1809 | 2005-06-22 |
1215933536 | Kimberly Ann Boaz | Pharmacist | 2412 Backbay Dr, Columbus, OH 43235-8935 | 2005-06-22 |
Find all providers in COLUMBUS |
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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.