Individual provider Active NPI

Melissa Odorzynski, PHARM.D., MPH

  • Pharmacist
  • Eagan, MN
National Provider Identifier
1831233261
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
119590 Issued in MN
Practice address
3459 Washington Dr
Suite 200a
Eagan, MN 55122-1347
Phone
(952) 657-7481
NPI assigned
Feb 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14745-040 WI
Pharmacist 183500000X 119590 MN Primary

Addresses

Primary practice location

3459 Washington Dr
Suite 200a
Eagan, MN 55122-1347

Mailing address

20712 Jutland PL
Lakeville, MN 55044-4916
Phone (608) 695-8318

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
119590MNMDPharmacist
14745-040WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Match New Jersey, P.C. Current Accepting new patients
Mind and Match Wisconsin, S.C. Current 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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1831233261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20712 JUTLAND PL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444916",
            "telephone_number": "608-695-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 WASHINGTON DR",
            "address_2": "SUITE 200A",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221347",
            "telephone_number": "952-657-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODORZYNSKI",
        "first_name": "MELISSA",
        "credential": "PHARM.D., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14745-040",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.