Martha Meg Mellecker, RPH, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.295292 Issued in IL

Practice address

3840 46TH Ave
Rock Island, IL 61201-7137

Phone

(309) 794-1276

Fax

(309) 794-9915

NPI assigned

Sep 28, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1124302971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 46TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017137",
            "telephone_number": "309-794-1276",
            "fax_number": "309-794-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 46TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017137",
            "telephone_number": "309-794-1276",
            "fax_number": "309-794-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLECKER",
        "first_name": "MARTHA",
        "middle_name": "MEG",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.295292",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takesha McNamee
• Anne Michelle McNelis, LCSW
• Melissa M McNicholas, M.S. DEV PSY
• Susan E Medinger, RN
• Amanda Meegan
• Kerry Mendoza
• Richard Stavros Mento, D.C.
• Thais Meredith, D.M.D.
• Scott David Meskimen, CPNP
• Shannon Mess

• Pharmacist in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.