Individual provider Active NPI

Melissa Jannotte, PHARM D

  • Pharmacist
  • Macomb, MI
National Provider Identifier
1750603940
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302412646 Issued in MI
Practice address
20877 Hall Rd
Macomb, MI 48044-4256
Phone
(586) 464-1129
Fax
(586) 464-1139
NPI assigned
Feb 16, 2010
Last updated
Jan 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050213 NY
Pharmacist 183500000X 5302412646 MI Primary

Addresses

Primary practice location

20877 Hall Rd
Macomb, MI 48044-4256

Mailing address

5106 Woodlands TRL
Bloomfield Hills, MI 48302-2871
Phone (631) 806-2359

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
5302412646MIMDPharmacist
050213NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610841600000",
    "number": "1750603940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 WOODLANDS TRL",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022871",
            "telephone_number": "631-806-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20877 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444256",
            "telephone_number": "586-464-1129",
            "fax_number": "586-464-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNOTTE",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050213",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302412646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.