Active NPI
Richard Allen Melvin, PHARMD
- Ambulatory Care Pharmacist
- Missoula, MT
National Provider Identifier
1164907911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- PHA-PHA-LIC-5221
- Practice address
- 2350 S Reserve St
Missoula, MT 59801-6497 - Phone
- (406) 721-5330
- Fax
- (406) 721-4832
- NPI assigned
- Sep 27, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | PHA-PHA-LIC-5221 | MT | Primary |
Addresses
Primary practice location
2350 S Reserve St
Missoula, MT 59801-6497
Mailing address
2350 S Reserve St
Missoula, MT 59801-6497
Phone (406) 721-5330
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 |
|---|---|---|---|
| PHA-PHA-LIC-5221 | MT | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1164907911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 S RESERVE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016497",
"telephone_number": "406-721-5330",
"fax_number": "406-721-4832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 S RESERVE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016497",
"telephone_number": "406-721-5330",
"fax_number": "406-721-4832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELVIN",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MT",
"license": "PHA-PHA-LIC-5221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.