Melissa Gorecki

Primary specialty

PharmacistTaxonomy code 183500000X

License

5509 Issued in SD

Practice address

17267 W 3Rd St
Redfield, SD 57469-1001

Phone

(605) 472-4231

NPI assigned

Apr 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• South Dakota Developmental Center

  • Intellectual Disabilities Intermediate Care Facility
  • Redfield, SD
  • NPI 1548391022
  NPD

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1245869833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17267 W 3RD ST",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691001",
            "telephone_number": "605-472-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17267 W 3RD ST",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691001",
            "telephone_number": "605-472-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORECKI",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "5509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Volt",
            "affiliation": "N",
            "address_1": "17267 W 3rd St",
            "city": "Redfield",
            "state": "SD",
            "country_code": "US",
            "postal_code": "574691001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eastern Star Home of South Dakota Inc
• Eastern Star Home of South Dakota Inc.
• Cathy Frericks, PT
• Olivia Full, DPT
• Rylie Gall
• Scott J Hartung, DC
• Alyssa Osborn Howard, PHARMD
• Jean Mitchell Therapy
• Kayla Marie Jessen, OWNER
• Anne Jockheck, LPC

• All providers in Redfield, SD
• Pharmacist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.