Active NPI
Melina Wheeler
- Pharmacist
- Gresham, OR
National Provider Identifier
1790186450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0014209
- Practice address
- 2497 SE Burnside Rd
Gresham, OR 97080-1246 - Phone
- (503) 669-4200
- NPI assigned
- Sep 11, 2014
- Last updated
- Sep 11, 2014
- 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 | 0014209 | OR | Primary |
Addresses
Primary practice location
2497 SE Burnside Rd
Gresham, OR 97080-1246
Mailing address
1936 NW 143Rd Ave Apt 77
Portland, OR 97229-4330
Phone (503) 351-9696
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 |
|---|---|---|---|
| 0014209 | OR | MD | Pharmacist |
Interoperability endpoints
- mwheeler392403@direct.peacehealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1790186450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 NW 143RD AVE APT 77",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972294330",
"telephone_number": "503-351-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2497 SE BURNSIDE RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970801246",
"telephone_number": "503-669-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "MELINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0014209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
- Western Psychological and Counseling Services PC
- Western Psychological and Counseling Services PC
- Trent M Westover, DMD
- Alan Wheatley
- Jeremy Wheeler, LMT
- Taylor Whelchel, CCC-SLP
- Whitaker Wellness LLC (Powell Valley Chiropractic Clinic)
- Michael Whitaker, D.C., M.S.
- David A White, MD
- Gary Alan White, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.