Active NPI
Melissa Rathke
- Pharmacist
- Gadsden, AL
National Provider Identifier
1417089806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15201
- Practice address
- 340 E Meighan Blvd
Gadsden, AL 35903-1049 - Phone
- (256) 547-8928
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 15201 | AL | Primary |
Addresses
Primary practice location
340 E Meighan Blvd
Gadsden, AL 35903-1049
Mailing address
1110 Legacy Blvd
Jacksonville, AL 36265-3904
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15201 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417089806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 LEGACY BLVD",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362653904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E MEIGHAN BLVD",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359031049",
"telephone_number": "256-547-8928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHKE",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "15201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.