Healthcare Provider Details

I. General information

NPI: 1891625927
Provider Name (Legal Business Name): JOSHUA DAVID MELSON PHARMD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 STEVE DR
RUSSELL SPRINGS KY
42642-4653
US

IV. Provider business mailing address

108 HANNSONS PATH
GEORGETOWN KY
40324-2145
US

V. Phone/Fax

Practice location:
  • Phone: 270-866-2226
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number025656
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: