Individual provider Active NPI

Melissa Ann Massoglia, PHARM D

  • Pharmacist
  • Janesville, WI
National Provider Identifier
1609404151
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17308-40 Issued in WI
Practice address
1832 W Court St
Janesville, WI 53548-3418
Phone
(608) 752-9286
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 17308-40 WI Primary

Addresses

Primary practice location

1832 W Court St
Janesville, WI 53548-3418

Mailing address

1832 W Court St
Janesville, WI 53548-3418

Other names 1

  • Dr. Melissa Ann Jackson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Melissa.Jackson4@cvscaremark.com Direct

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

State licenses

LicenseStateTypeSpecialty
17308-40WIMDPharmacist

Interoperability endpoints

  • Direct secure messaging: melissa.jackson4@cvscaremark.com

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1609404151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 W COURT ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 W COURT ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483418",
            "telephone_number": "608-752-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOGLIA",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "17308-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Jackson4@cvscaremark.com",
            "affiliation": "N",
            "endpointDescription": "cvs encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1832 W Court St",
            "city": "Janesville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535483418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "JACKSON",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.