Active NPI
Jesus Melendez, PHARM.D.
- Pharmacist
- Freehold, NJ
National Provider Identifier
1891206702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03866100
- Practice address
- 20 Jackson St
Freehold, NJ 07728 - Phone
- (732) 363-6655
- NPI assigned
- Oct 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03866100 | NJ | Primary |
Addresses
Primary practice location
20 Jackson St
Freehold, NJ 07728
Mailing address
20 Jackson St
Freehold, NJ 07728-2476
Other practice location 1
41 Castle Point Rd
Wappingers Falls, NY 12590-7004
Phone (845) 831-2000 ext. 4098
Other practice location 2
41 Castle Point Rd
Wappingers Falls, NY 12590-7004
Phone (845) 831-2000 ext. 4098
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 |
|---|---|---|---|
| 28RI03866100 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1891206702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 JACKSON ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 JACKSON ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-363-6655"
}
],
"practiceLocations": [
{
"address_1": "41 Castle Point Rd",
"address_purpose": "LOCATION",
"city": "Wappingers Falls",
"state": "NY",
"postal_code": "125907004",
"country_code": "US",
"telephone_number": "845-831-2000 x4098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "41 Castle Point Rd",
"address_purpose": "LOCATION",
"city": "Wappingers Falls",
"state": "NY",
"postal_code": "125907004",
"country_code": "US",
"telephone_number": "845-831-2000 x4098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELENDEZ",
"first_name": "JESUS",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-18",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03866100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.