Individual provider Active NPI

Melissa Jo Yates, PHARMD

  • Pharmacist
  • McConnell AFB, KS
National Provider Identifier
1851401327
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP045741 Issued in PA
Practice address
57950 Leavenworth St
22 MDSS/Sgsap
McConnell AFB, KS 67221-3506
Phone
(316) 759-5509
Fax
(316) 759-5038
NPI assigned
Aug 30, 2006
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20378 OK
Pharmacist 183500000X RP045741 PA Primary

Addresses

Primary practice location

57950 Leavenworth St
22 MDSS/Sgsap
McConnell AFB, KS 67221-3506

Mailing address

1111 N Lee Ave Ste 248
Oklahoma City, OK 73103-2625
Phone (405) 766-6588

Other names 1

  • Melissa Jo Pammer Former name

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
RP045741PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathwrite, Inc. CurrentSince Sep 23, 2024 Accepting new patients
Pathwrite, Inc. PastSince Sep 23, 2024 Accepting new patients

Locations

1111 N Lee Ave
Ste 248
Oklahoma City, OK 73103
Phone (405) 766-6588

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, 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1851401327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N LEE AVE STE 248",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032625",
            "telephone_number": "405-766-6588",
            "fax_number": "888-491-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57950 LEAVENWORTH ST",
            "address_2": "22 MDSS/SGSAP",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "672213506",
            "telephone_number": "316-759-5509",
            "fax_number": "316-759-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "MELISSA",
        "middle_name": "JO",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "20378",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP045741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PAMMER",
            "middle_name": "JO",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McConnell AFB, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.