Individual provider Active NPI

Melissa Menning

  • Pharmacist
  • Blue Springs, MO
National Provider Identifier
1366045205
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2017026845 Issued in MO
Practice address
1040 NE Coronado Dr
Blue Springs, MO 64014-2971
Phone
(816) 622-3401
Fax
(816) 622-3411
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2017026845 MO Primary

Addresses

Primary practice location

1040 NE Coronado Dr
Blue Springs, MO 64014-2971

Mailing address

1040 NE Coronado Dr
Blue Springs, MO 64014-2971
Phone (816) 622-3401

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

State licenses

LicenseStateTypeSpecialty
2017026845MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1366045205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NE CORONADO DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142971",
            "telephone_number": "816-622-3401",
            "fax_number": "816-622-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NE CORONADO DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142971",
            "telephone_number": "816-622-3401",
            "fax_number": "816-622-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNING",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2017026845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.