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MELROSE PHARMACY
NPI 1073628095
Pharmacy - Community/Retail Pharmacy in Phoenix, AZ

Active since August 20, 2006
706 W MONTECITO AVE, PHOENIX, AZ 85013(602) 277-4714(602) 264-1469 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Melrose Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELROSE PHARMACY (NPI 1073628095) is a healthcare organization registered as a community/retail pharmacy in Phoenix, Arizona and active in the NPI registry since August 2006. The organization lists Teresa Stickler, President, as its authorized official.

NPPES Registry Identity

NPI1073628095
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMELROSE PHARMACY LLC
Location Address706 W MONTECITO AVEPhoenix, AZ 85013-2814
Mailing Address706 W Montecito AvePhoenix, AZ 85013-2814 · (602) 277-4714 · Fax (602) 264-1469
Phone(602) 277-4714
Fax(602) 264-1469
Organization SubpartNo
Authorized OfficialTeresa SticklerPresident · (602) 277-4714
Enumeration DateAugust 20, 2006
Last NPPES UpdateFebruary 20, 2017
✔ NPI 1073628095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AZ · Y04279
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
706 W MONTECITO AVE, Phoenix, AZ 85013
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Other Names 1

Doing Business AsMelrose Pharmacy

Other Identifiers 3

Other1991935Pk
Medicare NSC5608730001
Medicaid980319AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Avera Health Plans, Blue Cross and Blue Shield of Kansas City and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melrose Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20080102000592Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIDIA TERESA DICKINSON RPH
Pharmacist
706 W MONTECITO AVE
PHOENIX, AZ 85013
Maricopa County (602) 277-4714

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melrose Pharmacy LLC's NPI number?

The NPI number for Melrose Pharmacy LLC is 1073628095. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Melrose Pharmacy.

Where is Melrose Pharmacy LLC located?

Melrose Pharmacy LLC is located at 706 W Montecito Ave, Phoenix, AZ 85013. The listed phone number is (602) 277-4714.

What is Melrose Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Melrose Pharmacy LLC enrolled in Medicare?

Yes. Melrose Pharmacy LLC is registered in the Medicare PECOS enrollment system.

When is Melrose Pharmacy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Mass Immunization (Roster Biller Only)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Melrose Pharmacy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Avera Health Plans, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas City and BlueCross BlueShield of Tennessee and 15 other insurers list Melrose Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melrose Pharmacy LLC was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.