MELVINA LAKE PHARMD – NPI #1497368567
Pharmacist

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.

MELVINA LAKE is a pharmacist located in SHIPROCK, NM. NPPES has assigned the NPI number 1497368567 to MELVINA LAKE on August 28, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MELVINA LAKE below.

NPI Profile for
MELVINA LAKE

NPI Number
1497368567
Enumeration Date

(about 6 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MELVINA LAKE
Credentials
PHARMD
Primary location
US HIGHWAY 491 NORTH
SHIPROCK, NM 87420
Phone: (505) 368-6001 Fax:
Mailing address
HWY 491 NORTH
SHIPROCK, NM 87420
Phone: (505) 368-7250 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 18, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)
ID P8897

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
telephone
Endpoint type
Other URL
Endpoint Description
TELEPHONE
Content Type
CSV
Affiliation
N
Endpoint Location
US HIGHWAY 491 NORTH,
SHIPROCK, NM 77025-1669