Active NPI
Melinda M Butler, RPH
- Pharmacist
- Portland, OR
National Provider Identifier
1881700862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9034
- Practice address
- 1132 SW 13TH Ave
Portland, OR 97205-1703 - Phone
- (503) 535-3888
- Fax
- (503) 961-8241
- NPI assigned
- Aug 22, 2006
- Last updated
- Dec 21, 2015
- 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 | 9034 | OR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 9034 | OR |
Addresses
Primary practice location
1132 SW 13TH Ave
Portland, OR 97205-1703
Mailing address
1132 SW 13TH Ave
Portland, OR 97205-1703
Phone (503) 535-3888
Other names 1
- Miss Melinda M Hermes
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9034 | OR | MD | Dentist |
Organizations & group practices 1
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": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1881700862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 SW 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051703",
"telephone_number": "503-535-3888",
"fax_number": "503-961-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 SW 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051703",
"telephone_number": "503-535-3888",
"fax_number": "503-961-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "MELINDA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "9034",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "9034",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELINDA",
"last_name": "HERMES",
"middle_name": "M",
"prefix": "MISS",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.