Active NPI
Melissa Bailey, PHARM.D.
- Pharmacist
- Bellevue, NE
National Provider Identifier
1811392863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14637
- Practice address
- 6905 S 36TH St
Bellevue, NE 68147-1231 - Phone
- (402) 734-7592
- NPI assigned
- Nov 1, 2014
- Last updated
- Apr 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22273 | IA | |
| Pharmacist | 183500000X | 14637 | NE | Primary |
Addresses
Primary practice location
6905 S 36TH St
Bellevue, NE 68147-1231
Mailing address
6905 S 36TH St
Bellevue, NE 68147-1231
Phone (402) 734-7592
Other practice location 1
535 E Broadway
Council Bluffs, IA 51503-4419
Phone (712) 329-0930
Other names 1
- Melissa Bouma
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14637 | NE | MD | Mental Health Counselor |
| 22273 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1811392863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6905 S 36TH ST",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681471231",
"telephone_number": "402-734-7592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6905 S 36TH ST",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681471231",
"telephone_number": "402-734-7592"
}
],
"practiceLocations": [
{
"address_1": "535 E Broadway",
"address_purpose": "LOCATION",
"city": "Council Bluffs",
"state": "IA",
"postal_code": "515034419",
"country_code": "US",
"telephone_number": "712-329-0930",
"fax_number": "712-329-0980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-01",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22273",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "BOUMA",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.