Provider Demographics
NPI:1477272557
Name:MELNYK, KIMBERLEY (PHARM D)
Entity Type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:
Last Name:MELNYK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 AVIA PARK PL APT 110
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7822
Mailing Address - Country:US
Mailing Address - Phone:703-895-0020
Mailing Address - Fax:
Practice Address - Street 1:100 WEGMANS WAY
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-6507
Practice Address - Country:US
Practice Address - Phone:434-529-3245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022206681835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist