Melanie Prescott, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

P5378 Issued in ID

Practice address

880 W Quinn Rd
Chubbuck, ID 83202-2454

Phone

(208) 238-2000

NPI assigned

Oct 11, 2023

Last updated

Oct 11, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1255112629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W QUINN RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022454",
            "telephone_number": "208-238-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCOTT",
        "first_name": "MELANIE",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lee Phillips
• Phoenix Management LLC
• Pinnacle Range of Motion, LLC
• Pocatello Med Partners LLC (Idaho Kidney Center - Pocatello)
• Praxair Healthcare Services, Inc.
• Jared C Pugmire, PT DPT
• Thomas Putnam, LPC
• Fahim Rahim, M.D.
• Naeem Rahim, M.D.
• Elizabeth B Renzello, SLP

• Pharmacist in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.