Active NPI
Melissa Marie Hanson, PHARMD
- Pharmacist
- Brookfield, WI
National Provider Identifier
1023290806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14445-040
- Practice address
- 13935 W Capitol Dr
Brookfield, WI 53005-2496 - Phone
- (262) 781-7410
- Fax
- (262) 781-7497
- NPI assigned
- Dec 3, 2007
- Last updated
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14445-040 | WI | Primary |
Addresses
Primary practice location
13935 W Capitol Dr
Brookfield, WI 53005-2496
Mailing address
13935 W Capitol Dr
Brookfield, WI 53005-2496
Phone (262) 781-7410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14445-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Pharmacy, Inc | Past | Accepting new patients | |
| Aurora Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1023290806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13935 W CAPITOL DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052496",
"telephone_number": "262-781-7410",
"fax_number": "262-781-7497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13935 W CAPITOL DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052496",
"telephone_number": "262-781-7410",
"fax_number": "262-781-7497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14445-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.