Active NPI
Melanie D Houser, RPH
- Pharmacist
- Leadington, MO
National Provider Identifier
1184606345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2001024749
- Practice address
- 113 Saint Francois PLZ
Leadington, MO 63601-4454 - Phone
- (573) 431-5040
- Fax
- (573) 431-8967
- NPI assigned
- Nov 15, 2005
- Last updated
- Mar 9, 2022
- 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 | 2001024749 | MO | Primary |
Addresses
Primary practice location
113 Saint Francois PLZ
Leadington, MO 63601-4454
Mailing address
4640 Groom Rd
Farmington, MO 63640-7255
Phone (573) 701-4055
Other practice location 1
116 Walnut St
Festus, MO 63028-1848
Phone (636) 937-7997
Other practice location 2
1117 Main St
Imperial, MO 63052-2323
Phone (636) 464-1100
Other practice location 3
610 E High St
Potosi, MO 63664-1406
Phone (573) 438-2189
Other practice location 4
540 E 5th St
Washington, MO 63090-2904
Phone (636) 239-4707
Other practice location 5
60 Nesbit Dr Ste A
Bonne Terre, MO 63628-1347
Phone (573) 358-3301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600446504 | Medicaid | MO |
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 |
|---|---|---|---|
| 2001024749 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1184606345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4640 GROOM RD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636407255",
"telephone_number": "573-701-4055",
"fax_number": "573-358-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 SAINT FRANCOIS PLZ",
"city": "LEADINGTON",
"state": "MO",
"postal_code": "636014454",
"telephone_number": "573-431-5040",
"fax_number": "573-431-8967"
}
],
"practiceLocations": [
{
"address_1": "116 Walnut St",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630281848",
"country_code": "US",
"telephone_number": "636-937-7997",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1117 Main St",
"address_purpose": "LOCATION",
"city": "Imperial",
"state": "MO",
"postal_code": "630522323",
"country_code": "US",
"telephone_number": "636-464-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 E High St",
"address_purpose": "LOCATION",
"city": "Potosi",
"state": "MO",
"postal_code": "636641406",
"country_code": "US",
"telephone_number": "573-438-2189",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "540 E 5th St",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "MO",
"postal_code": "630902904",
"country_code": "US",
"telephone_number": "636-239-4707",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 Nesbit Dr Ste A",
"address_purpose": "LOCATION",
"city": "Bonne Terre",
"state": "MO",
"postal_code": "636281347",
"country_code": "US",
"telephone_number": "573-358-3301",
"fax_number": "573-358-7450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSER",
"first_name": "MELANIE",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2001024749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600446504",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leadington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.