Active NPI
Melanie Kay Proctor, PHARMD
- Pharmacist
- Eden Prairie, MN
National Provider Identifier
1265724496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118186
- Practice address
- 14301 Martin Dr Apt 518
Eden Prairie, MN 55344-3019 - Phone
- (218) 368-8942
- NPI assigned
- May 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 118186 | MN | Primary |
Addresses
Primary practice location
14301 Martin Dr Apt 518
Eden Prairie, MN 55344-3019
Mailing address
14301 Martin Dr Apt 518
Eden Prairie, MN 55344-3019
Phone (218) 368-8942
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 |
|---|---|---|---|
| 118186 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1265724496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14301 MARTIN DR APT 518",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443019",
"telephone_number": "218-368-8942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14301 MARTIN DR APT 518",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443019",
"telephone_number": "218-368-8942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "MELANIE",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.