Healthcare Provider Details

I. General information

NPI: 1124956552
Provider Name (Legal Business Name): ALEXIA MELO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 CHARLOTTE WHITE RD
WESTPORT MA
02790-4330
US

IV. Provider business mailing address

21 CHARLOTTE WHITE RD
WESTPORT MA
02790-4330
US

V. Phone/Fax

Practice location:
  • Phone: 774-528-5009
  • Fax:
Mailing address:
  • Phone: 774-528-5009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number183500000
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: