MEDICARE: DR. MELANIE RACHELLE OWENS PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051.293142	IL

General Provider Information

NPI Number	:	1528345048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELANIE RACHELLE OWENS PHARMD

Provider Business Mailing Address
First Line	:	4625 S LAKE PARK AVE APT 1N
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-5319
Country	:	US
Telephone Number	:	773-263-4343
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 E 47TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60653-4508
Country	:	US
Telephone Number	:	773-373-6147
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2011
Last Update Date	:	12/22/2025

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