Active NPI
Melissa Jean Hartman, R.PH.
- Pharmacist
- Fort Wayne, IN
National Provider Identifier
1710975800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26015229A
- Practice address
- 4900 Saint Joe Rd
Fort Wayne State Developmental Center Pharmacy
Fort Wayne, IN 46835-3275 - Phone
- (260) 969-1794
- Fax
- (260) 969-3879
- NPI assigned
- Oct 12, 2005
- 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 | 26015229A | IN | Primary |
Addresses
Primary practice location
4900 Saint Joe Rd
Fort Wayne State Developmental Center Pharmacy
Fort Wayne, IN 46835-3275
Mailing address
3923 Nottingham Dr
Fort Wayne, IN 46815-5533
Phone (260) 486-3471
Other names 1
- Melissa Jean Reynolds
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 |
|---|---|---|---|
| 26015229A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710975800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3923 NOTTINGHAM DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468155533",
"telephone_number": "260-486-3471",
"fax_number": "260-969-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 SAINT JOE RD",
"address_2": "FORT WAYNE STATE DEVELOPMENTAL CENTER PHARMACY",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468353275",
"telephone_number": "260-969-1794",
"fax_number": "260-969-3879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "MELISSA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26015229A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "REYNOLDS",
"middle_name": "JEAN",
"credential": "R.PH.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.