Individual provider Active NPI

Melanie D Houser, RPH

  • Pharmacist
  • Leadington, MO
National Provider Identifier
1184606345
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2001024749 Issued in MO
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
600446504MedicaidMO

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
2001024749MOMDPharmacist

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.

Verify at the official NPI Registry.