Active NPI
Melissa Dutchak, PHARMD, RPH
- Pharmacist
- Boulder, CO
National Provider Identifier
1558401786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17634
- Practice address
- 119 Campus Box
University of Colorado Boulder
Boulder, CO 80309-0001 - Phone
- (303) 492-8553
- Fax
- (303) 492-4874
- NPI assigned
- Feb 7, 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 | 17634 | CO | Primary |
Addresses
Primary practice location
119 Campus Box
University of Colorado Boulder
Boulder, CO 80309-0001
Mailing address
The Apothecary at Wardenburg University of
Campus Box 119
Boulder, CO 80309-0001
Phone (303) 492-8553
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17634 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1558401786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THE APOTHECARY AT WARDENBURG UNIVERSITY OF",
"address_2": "CAMPUS BOX 119",
"city": "BOULDER",
"state": "CO",
"postal_code": "803090001",
"telephone_number": "303-492-8553",
"fax_number": "303-492-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 CAMPUS BOX",
"address_2": "UNIVERSITY OF COLORADO BOULDER",
"city": "BOULDER",
"state": "CO",
"postal_code": "803090001",
"telephone_number": "303-492-8553",
"fax_number": "303-492-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTCHAK",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "17634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.