MRS. MELISSA ANN HERZOG PHARMD
NPI 1396000121
Pharmacist in Chubbuck, ID

Active since July 09, 2012
4215 YELLOWSTONE AVE, CHUBBUCK, ID 83202(208) 237-6828 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Melissa Ann Herzog Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MELISSA ANN HERZOG PHARMD (NPI 1396000121) is an individual pharmacist in Chubbuck, Idaho, licensed in Idaho (P4850) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1396000121
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. MELISSA ANN HERZOGCredential: PHARMD
Location Address4215 YELLOWSTONE AVEChubbuck, ID 83202-2419
Mailing Address4415 Ziebarth RoadPocatello, ID 83204 · (208) 241-6912
Sole ProprietorYes
Enumeration DateJuly 9, 2012
NPI 1396000121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · P4850
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4215 YELLOWSTONE AVE, Chubbuck, ID 83202

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4215 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Pharmacist
4215 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Pharmacy (Community/Retail Pharmacy)
4215 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Eyewear Supplier
4215 YELLOWSTONE AVE
CHUBBUCK, ID 83202
Pharmacist
4215 YELLOWSTONE AVE
CHUBBUCK, ID 83202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Herzog's NPI number?

The NPI number for Melissa Herzog is 1396000121. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Melissa Herzog located?

Melissa Herzog practices at 4215 Yellowstone Ave, Chubbuck, ID 83202. The listed phone number is (208) 237-6828.

What is Melissa Herzog's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Melissa Herzog was last updated on July 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.