Kevin Neal Melby, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

12784 Issued in WI

Practice address

110 W 4TH St
New Richmond, WI 54017-1722

Phone

(715) 246-2186

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kevin Neal Melby Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235281833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 E 1ST ST",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172202",
            "telephone_number": "715-246-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 4TH ST",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171722",
            "telephone_number": "715-246-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELBY",
        "first_name": "KEVIN",
        "middle_name": "NEAL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12784",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "MELBY",
            "middle_name": "NEAL",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Suzette Marie Mattson, LPC-IT
• Sarah Matzek
• Sara McFarland
• Susan J McIntyre, N.P.
• Allen M Medini, MD
• Michael J Melby, MD
• Neal A Melby, MD
• Wendy Melchert, RN
• Mercyhomes,LLC
• Craig Allen Mescher

• Pharmacist in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.