Penny Angela Melder, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

P6020 Issued in ID

Practice address

1630 23Rd Ave BLDG 2
Lewiston, ID 83501-6350

Phone

(208) 746-7784

NPI assigned

Sep 25, 2006

Last updated

Apr 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1851492821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 23RD AVE BLDG 2",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016350",
            "telephone_number": "208-746-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 23RD AVE BLDG 2",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016350",
            "telephone_number": "208-746-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELDER",
        "first_name": "PENNY",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6020",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "ID",
            "license": "P6020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Meadows
• Christopher Adam Mecklenburg, PHARMD
• Seker Medavarapu, PT
• Medical Surgical Group Inc
• Delia Medlin, PH.D.
• Leslie Meredith, LMP
• Jenna Andreas Rashell Messick, MS., CCC-SLP
• Judy A Metelko, CNS,ARNP
• MHP Idaho LLC
• Michael J Baldeck, DO, PLLC

• Ambulatory Care Pharmacist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Ambulatory Care Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.