Active NPI
Melissa Krocheski
- Pharmacist
- Roseville, CA
National Provider Identifier
1770148462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46503
- Practice address
- 5090 Foothills Blvd
Roseville, CA 95747-6517 - Phone
- (916) 783-1355
- NPI assigned
- May 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 46503 | CA | Primary |
Addresses
Primary practice location
5090 Foothills Blvd
Roseville, CA 95747-6517
Mailing address
8420 Scenic Vista Way
Fair Oaks, CA 95628-3869
Phone (916) 849-6948
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46503 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | 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": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1770148462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8420 SCENIC VISTA WAY",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283869",
"telephone_number": "916-849-6948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5090 FOOTHILLS BLVD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957476517",
"telephone_number": "916-783-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROCHESKI",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "46503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
- Kristi Mitchell Licensed Professional Clinical Counselor PC
- Kristie Trang Optometry, Inc.
- Kristie Trang Optometry, Inc.
- Kristin Erlec Marriage and Family Therapist, Inc.
- Krivitsky Chiropractic Inc
- Bianca S Kroettinger, PT
- Kassie Krueger Taylor
- Cassandra Krupansky, DDS, MS
- Elias Robert Kruse
- Viktoriya Kryvenka
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.