Active NPI
Melissa Blenker, PHARMD
- Pharmacist
- Ellisville, MO
National Provider Identifier
1255600284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18794
- Practice address
- 15846 Manchester Rd
Ellisville, MO 63011-2208 - Phone
- (636) 527-6074
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051304637 | IL | |
| Pharmacist | 183500000X | 4223 | WY | |
| Pharmacist | 183500000X | 18794 | CO | Primary |
| Pharmacist | 183500000X | 2022010902 | MO |
Addresses
Primary practice location
15846 Manchester Rd
Ellisville, MO 63011-2208
Mailing address
PO Box 26870715
T-1525
Silverthorne, CO 80498
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 |
|---|---|---|---|
| 18794 | CO | MD | Pharmacist |
| 051304637 | IL | MD | Pharmacist |
| 2022010902 | MO | MD | Pharmacist |
| 4223 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1255600284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26870715",
"address_2": "T-1525",
"city": "SILVERTHORNE",
"state": "CO",
"postal_code": "80498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15846 MANCHESTER RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112208",
"telephone_number": "636-527-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLENKER",
"first_name": "MELISSA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-20",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051304637",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "4223",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "18794",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2022010902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.