NPIMap

Individual provider Active NPI

Katie Melius, PHARMD

  • Pharmacist
  • Brandon, SD
National Provider Identifier
1700103082
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5455 Issued in SD
Practice address
115 N Splitrock Blvd
Brandon, SD 57005-1529
Phone
(605) 367-2910
Fax
(605) 367-2915
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5455 SD Primary

Addresses

Primary practice location

115 N Splitrock Blvd
Brandon, SD 57005-1529

Mailing address

115 N Splitrock Blvd
Brandon, SD 57005-1529
Phone (605) 367-2910

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
5455SDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Past Accepting new patients
Sanford Medical Center 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.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1700103082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N SPLITROCK BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051529",
            "telephone_number": "605-367-2910",
            "fax_number": "605-367-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N SPLITROCK BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051529",
            "telephone_number": "605-367-2910",
            "fax_number": "605-367-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELIUS",
        "first_name": "KATIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "5455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.