Active NPI
Melissa K Bridges, PHARM D
- Pharmacist
- Oshkosh, WI
National Provider Identifier
1184942740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16239-040
- Practice address
- 1900 S Koeller St
Oshkosh, WI 54902-6153 - Phone
- (920) 233-4287
- Fax
- (920) 252-8327
- NPI assigned
- May 6, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 051292649 | IL | |
| Pharmacist | 183500000X | 16239-040 | WI | Primary |
Addresses
Primary practice location
1900 S Koeller St
Oshkosh, WI 54902-6153
Mailing address
1900 S Koeller St
Oshkosh, WI 54902-6153
Phone (920) 233-4287
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 |
|---|---|---|---|
| 051292649 | IL | MD | Pharmacist |
| 16239-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1184942740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 S KOELLER ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549026153",
"telephone_number": "920-233-4287",
"fax_number": "920-252-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S KOELLER ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549026153",
"telephone_number": "920-233-4287",
"fax_number": "920-252-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "MELISSA",
"middle_name": "K",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-06",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051292649",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16239-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.