Healthcare Provider Details

I. General information

NPI: 1497678981
Provider Name (Legal Business Name): MELODY VALENTE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 S US HIGHWAY 231
BLOOMFIELD IN
47424-7114
US

IV. Provider business mailing address

5893 S BLACK ANKLE RD
BLOOMFIELD IN
47424-5523
US

V. Phone/Fax

Practice location:
  • Phone: 812-384-4820
  • Fax:
Mailing address:
  • Phone: 812-340-9719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26032162A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: