Active NPI
Melissa Marie Jenkins, PHARM. D
- Pharmacist
- Charles City, IA
National Provider Identifier
1205955812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20425
- Practice address
- 901 Kelly St
Charles City, IA 50616-2204 - Phone
- (641) 228-1222
- NPI assigned
- Mar 28, 2007
- 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 | 20425 | IA | Primary |
Addresses
Primary practice location
901 Kelly St
Charles City, IA 50616-2204
Mailing address
2991 Chestnut PL
Charles City, IA 50616-8883
Phone (641) 330-6169
Other practice location 1
875 4th St SW
Mason City, IA 50401-4439
Phone (641) 424-5522
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | 1074pharmacymgr@hy-Vee.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 20425 | IA | MD | Pharmacist |
Interoperability endpoints
- 1074pharmacymgr@hy-vee.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1205955812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2991 CHESTNUT PL",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506168883",
"telephone_number": "641-330-6169",
"fax_number": "641-228-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 KELLY ST",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506162204",
"telephone_number": "641-228-1222"
}
],
"practiceLocations": [
{
"address_1": "875 4th St SW",
"address_purpose": "LOCATION",
"city": "Mason City",
"state": "IA",
"postal_code": "504014439",
"country_code": "US",
"telephone_number": "641-424-5522",
"fax_number": "641-421-9457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20425",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "1074pharmacymgr@hy-Vee.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "901 Kelly St",
"city": "Charles City",
"state": "IA",
"country_code": "US",
"postal_code": "506162204",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charles City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.