Active NPI
Melissa Catherine Vandermause, PHARMD
- Pharmacist
- Lakeville, MN
National Provider Identifier
1154956332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125487
- Practice address
- 20250 Heritage Dr
Lakeville, MN 55044-6869 - Phone
- (952) 469-8404
- NPI assigned
- Mar 8, 2020
- Last updated
- Nov 13, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 125487 | MN | Primary |
| Pharmacist | 183500000X | 19991-40 | WI |
Addresses
Primary practice location
20250 Heritage Dr
Lakeville, MN 55044-6869
Mailing address
20250 Heritage Dr
Lakeville, MN 55044-6869
Phone (952) 469-8404
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 |
|---|---|---|---|
| 125487 | MN | MD | Pharmacist |
| 19991-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients | |
| Supervalu Pharmacies Inc. | Past | Accepting new patients | |
| Supervalu Pharmacies Inc | Past | Accepting new patients | |
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 4
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": "1583625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1154956332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20250 HERITAGE DR",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446869",
"telephone_number": "952-469-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20250 HERITAGE DR",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446869",
"telephone_number": "952-469-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERMAUSE",
"first_name": "MELISSA",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-08",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125487",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "19991-40",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.