Active NPI
Melissa Gallegos, PHARM.D.
- Pharmacist
- West Jordan, UT
National Provider Identifier
1194041467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 287852-1701
- Practice address
- 1994 W Olympus Peak Cir
West Jordan, UT 84088-6100 - Phone
- (801) 205-7926
- NPI assigned
- Apr 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 287852-1701 | UT | Primary |
Addresses
Primary practice location
1994 W Olympus Peak Cir
West Jordan, UT 84088-6100
Mailing address
1994 W Olympus Peak Cir
West Jordan, UT 84088-6100
Phone (801) 205-7926
Other names 1
- Melissa Gundersen
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 |
|---|---|---|---|
| 287852-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Past | Accepting new patients | |
| Ihc Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Riverton, UT
- NPI 1649401969
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1194041467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1994 W OLYMPUS PEAK CIR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840886100",
"telephone_number": "801-205-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1994 W OLYMPUS PEAK CIR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840886100",
"telephone_number": "801-205-7926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "MELISSA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-12",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "287852-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "GUNDERSEN",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.