Melanie Renee Shelden

Primary specialty

PharmacistTaxonomy code 183500000X

License

P7555 Issued in ID

Practice address

208 W Ironwood Dr
Coeur D Alene, ID 83814-2640

Phone

(208) 664-3185

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Melanie Renee Pecka Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1639625619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 COVE RD",
            "city": "WEISER",
            "state": "ID",
            "postal_code": "836725368",
            "telephone_number": "208-899-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142640",
            "telephone_number": "208-664-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDEN",
        "first_name": "MELANIE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7555",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60658273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "PECKA",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Anes Shaw, M.D.
• Daniel J Shaw, DDS
• Mary Jo Shaw, MD
• Robin R Shaw, MD
• Kimberly Lynn Shelden, LCSW
• Christi Jean Shelley, MSOT, OTR
• Shellman Inc PA
• Shelly D Sanders LCSW, LLC
• Amy Sheppard
• Amanda Sheridan

• Pharmacist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.