Active NPI
Melissa M Netland, RPH
- Pharmacist
- Stayton, OR
National Provider Identifier
1154695385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1154695385
- Practice address
- 102 Martin Dr Ste a
Stayton, OR 97383-1296 - Phone
- (503) 769-2616
- Fax
- (503) 769-2616
- NPI assigned
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 1154695385 | OR | Primary |
Addresses
Primary practice location
102 Martin Dr Ste a
Stayton, OR 97383-1296
Mailing address
102 Martin Drive Suite a
Stayton, OR 97383
Phone (503) 769-2616
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1154695385 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stayton Pharmacy, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Stayton, OR
- NPI 1588685184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1154695385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MARTIN DRIVE SUITE A",
"city": "STAYTON",
"state": "OR",
"postal_code": "97383",
"telephone_number": "503-769-2616",
"fax_number": "503-769-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MARTIN DR STE A",
"city": "STAYTON",
"state": "OR",
"postal_code": "973831296",
"telephone_number": "503-769-2616",
"fax_number": "503-769-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETLAND",
"first_name": "MELISSA",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "1154695385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stayton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.