Individual provider Active NPI

Melody Haikal Kalla, RPH

  • Pharmacist
  • Sterling Heights, MI
National Provider Identifier
1174323992
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302416796 Issued in MI
Practice address
42433 Cedarlawn Dr
Sterling Heights, MI 48314-2741
Phone
(586) 365-8561
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302416796 MI Primary

Addresses

Primary practice location

42433 Cedarlawn Dr
Sterling Heights, MI 48314-2741

Mailing address

42433 Cedarlawn Dr
Sterling Heights, MI 48314-2741

Other identifiers 1

IdentifierTypeStateIssuer
5302416796OtherMIPHARMACIST LICENSE

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

LicenseStateTypeSpecialty
5302416796MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1174323992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42433 CEDARLAWN DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42433 CEDARLAWN DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142741",
            "telephone_number": "586-365-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLA",
        "first_name": "MELODY",
        "middle_name": "HAIKAL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302416796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "5302416796",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.