Active NPI
Melody Jill Odom, PHARM.D.
- Pharmacist
- Aurora, CO
National Provider Identifier
1639588692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0022701
- Practice address
- 860 Potomac Cir
Aurora, CO 80011-6714 - Phone
- (720) 777-0300
- Fax
- (720) 478-7400
- NPI assigned
- Aug 4, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13520 | SC | |
| Pharmacist | 183500000X | 58724 | TX | |
| Pharmacist | 183500000X | RPH026266 | GA | |
| Pharmacist | 183500000X | PHA.0022701 | CO | Primary |
Addresses
Primary practice location
860 Potomac Cir
Aurora, CO 80011-6714
Mailing address
860 Potomac Cir
Aurora, CO 80011-6714
Phone (720) 777-0300
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
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0022701 | CO | MD | Pharmacist |
| RPH026266 | GA | MD | Pharmacist |
| 13520 | SC | MD | Pharmacist |
| 58724 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1639588692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 POTOMAC CIR",
"city": "AURORA",
"state": "CO",
"postal_code": "800116714",
"telephone_number": "720-777-0300",
"fax_number": "720-478-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 POTOMAC CIR",
"city": "AURORA",
"state": "CO",
"postal_code": "800116714",
"telephone_number": "720-777-0300",
"fax_number": "720-478-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "MELODY",
"middle_name": "JILL",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13520",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "58724",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH026266",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0022701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.