Active NPI
Melanie Anne Roberts, RPH
- Pharmacist
- Lebanon, MO
National Provider Identifier
1639508286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044241
- Practice address
- 1800 S Jefferson Ave
Lebanon, MO 65536-4208 - Phone
- (417) 532-7148
- Fax
- (417) 532-2631
- NPI assigned
- Nov 4, 2013
- 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 | 044241 | MO | Primary |
Addresses
Primary practice location
1800 S Jefferson Ave
Lebanon, MO 65536-4208
Mailing address
1800 S Jefferson Ave
Lebanon, MO 65536-4208
Phone (417) 532-7148
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044241 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1639508286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 S JEFFERSON AVE",
"city": "LEBANON",
"state": "MO",
"postal_code": "655364208",
"telephone_number": "417-532-7148",
"fax_number": "417-532-2631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 S JEFFERSON AVE",
"city": "LEBANON",
"state": "MO",
"postal_code": "655364208",
"telephone_number": "417-532-7148",
"fax_number": "417-532-2631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MELANIE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.