Active NPI
Melissa Jill Winkeler
- Pharmacist
- Flora, IL
National Provider Identifier
1558962555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.037459
- Practice address
- 1540 N Worthey St
Flora, IL 62839-1096 - Phone
- (618) 662-4597
- Fax
- (618) 663-4957
- NPI assigned
- Nov 5, 2020
- 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 | 051.037459 | IL | Primary |
Addresses
Primary practice location
1540 N Worthey St
Flora, IL 62839-1096
Mailing address
1540 N Worthey St
Flora, IL 62839-1096
Phone (618) 662-4597
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 |
|---|---|---|---|
| 051.037459 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Flora, IL
- NPI 1972526036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1558962555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 N WORTHEY ST",
"city": "FLORA",
"state": "IL",
"postal_code": "628391096",
"telephone_number": "618-662-4597",
"fax_number": "618-663-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 N WORTHEY ST",
"city": "FLORA",
"state": "IL",
"postal_code": "628391096",
"telephone_number": "618-662-4597",
"fax_number": "618-663-4957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINKELER",
"first_name": "MELISSA",
"middle_name": "JILL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.037459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.