Active NPI
Patrick James Messelt, R.PH
- Pharmacist
- Burnsville, MN
National Provider Identifier
1982823555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 115050-6
- Practice address
- 1750 County Road 42 W
Burnsville, MN 55337-6200 - Phone
- (952) 892-6262
- Fax
- (952) 892-6183
- NPI assigned
- Apr 24, 2007
- Last updated
- Jul 8, 2007
- 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 | 115050-6 | MN | Primary |
Addresses
Primary practice location
1750 County Road 42 W
Burnsville, MN 55337-6200
Mailing address
4846 River Wood Dr
Savage, MN 55378-4607
Phone (952) 440-1473
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 |
|---|---|---|---|
| 115050-6 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc. | Past | Accepting new patients | |
| Supervalu Pharmacies Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982823555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4846 RIVER WOOD DR",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553784607",
"telephone_number": "952-440-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 COUNTY ROAD 42 W",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376200",
"telephone_number": "952-892-6262",
"fax_number": "952-892-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSELT",
"first_name": "PATRICK",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "115050-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.