Organization Active NPI

Melrose Pharmacy Inc

Doing business as Melrose Pharmacy

  • Community/Retail Pharmacy
  • Melrose, MN
National Provider Identifier
1881791713
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
262102 Issued in MN
Legal business name
MELROSE PHARMACY INC
Doing business as
Melrose Pharmacy
Practice address
611 Main St W
Melrose, MN 56352-1045
Phone
(320) 256-7292
Fax
(320) 256-3358
NPI assigned
Sep 20, 2006
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Jeffrey Sawyer, RPH
Title
Pharmacist and Owner
Phone
(320) 256-7292

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 262102 MN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

611 Main St W
Melrose, MN 56352-1045

Mailing address

611 Main St W
Suite 101
Melrose, MN 56352-1045
Phone (320) 256-7292

Other identifiers 3

IdentifierTypeStateIssuer
1881791713MedicaidMN
829647200MedicaidMN
2045724OtherPK

Other names 1

  • MELROSE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930003759 MN DME Supplier - Pharmacy 1759593213 Practice locations: Melrose, MN
O20201203001446 MN Part B Supplier - Mass Immunization (Roster Biller Only) 1759593213 Practice locations: Melrose, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Melrose Pharmacy Inc611 Main St W, Melrose, MN 56352-1045(320) 256-7292 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelc… Accepts assignmentParticipating since Dec 3, 2020

National Provider Directory

National Provider Directory

Locations

611 Main St W
Melrose, MN 56352
Phone (320) 256-7292

611 Main St W
Ste 101
Melrose, MN 56352

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1881791713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MAIN ST W",
            "address_2": "SUITE 101",
            "city": "MELROSE",
            "state": "MN",
            "postal_code": "563521045",
            "telephone_number": "320-256-7292",
            "fax_number": "320-256-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MAIN ST W",
            "city": "MELROSE",
            "state": "MN",
            "postal_code": "563521045",
            "telephone_number": "320-256-7292",
            "fax_number": "320-256-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "320-256-7292",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262102",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881791713",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "829647200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2045724",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MELROSE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melrose, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.