Active NPI
Melody L Berg, PHARM.D.
- Pharmacist
- Rochester, MN
National Provider Identifier
1871803064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 119203
- Practice address
- 1216 2ND St SW
St. Mary's Hospital, Pharmacy Services, MB G-722
Rochester, MN 55902-1906 - Phone
- (507) 255-5732
- NPI assigned
- Oct 21, 2010
- Last updated
- Oct 21, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051289314 | IL | |
| Pharmacist | 183500000X | 119203 | MN | Primary |
Addresses
Primary practice location
1216 2ND St SW
St. Mary's Hospital, Pharmacy Services, MB G-722
Rochester, MN 55902-1906
Mailing address
4452 Savannah Dr NW
Rochester, MN 55901-3865
Phone (507) 202-9062
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 |
|---|---|---|---|
| 051289314 | IL | MD | Pharmacist |
| 119203 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1871803064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4452 SAVANNAH DR NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559013865",
"telephone_number": "507-202-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 2ND ST SW",
"address_2": "ST. MARY'S HOSPITAL, PHARMACY SERVICES, MB G-722",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559021906",
"telephone_number": "507-255-5732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "MELODY",
"middle_name": "L",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051289314",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "119203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.