Provider Demographics
NPI:1750570016
Name:GROSS, MELISSA MOOERS (BS, PHARMD, MHA)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MOOERS
Last Name:GROSS
Suffix:
Gender:F
Credentials:BS, PHARMD, MHA
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:NICOLE
Other - Last Name:MOOERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPEL, BCPP, BCIDP
Mailing Address - Street 1:500 W BERKELEY ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-5514
Mailing Address - Country:US
Mailing Address - Phone:724-430-5298
Mailing Address - Fax:
Practice Address - Street 1:500 W BERKELEY ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-5514
Practice Address - Country:US
Practice Address - Phone:724-430-5298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP437224183500000X
PA4 06 0073481835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric