Healthcare Provider Details

I. General information

NPI: 1164358842
Provider Name (Legal Business Name): MELISSA ONDREYKO RPH/MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 HARRISON ST STE 100
JOHNSON CITY NY
13790-3100
US

IV. Provider business mailing address

3040 WEBB RD
BINGHAMTON NY
13903-5524
US

V. Phone/Fax

Practice location:
  • Phone: 607-763-5844
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number044061
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: