Individual provider Active NPI

Chanttel T Melquist, PHARMD

  • Pharmacist
  • Shoreview, MN
National Provider Identifier
1467700773
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
120988 Issued in MN
Practice address
3800 Lexington Ave N
T-0619
Shoreview, MN 55126-2916
Phone
(651) 486-3883
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 120988 MN Primary

Addresses

Primary practice location

3800 Lexington Ave N
T-0619
Shoreview, MN 55126-2916

Mailing address

3800 Lexington Ave N
T-0619
Shoreview, MN 55126-2916
Phone (651) 486-3883

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

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1467700773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 LEXINGTON AVE N",
            "address_2": "T-0619",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262916",
            "telephone_number": "651-486-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 LEXINGTON AVE N",
            "address_2": "T-0619",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262916",
            "telephone_number": "651-486-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELQUIST",
        "first_name": "CHANTTEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.