Individual provider Active NPI

Jesus Melendez, PHARM.D.

  • Pharmacist
  • Freehold, NJ
National Provider Identifier
1891206702
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03866100 Issued in NJ
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

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
28RI03866100NJMDPharmacist

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.

Verify at the official NPI Registry.