Provider Demographics
NPI:1548324296
Name:RAY, MELISSA (PHARMD, BCPS, BCPPS)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:PHARMD, BCPS, BCPPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 KELSEY LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-4336
Mailing Address - Country:US
Mailing Address - Phone:813-627-2776
Mailing Address - Fax:
Practice Address - Street 1:175 KELSEY LN
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4336
Practice Address - Country:US
Practice Address - Phone:813-627-2776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC81505701835P0200X
DCBCPS - 3080110081835P1200X
FLPS383181835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P0200XPharmacy Service ProvidersPharmacistPediatrics
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy