MEDICARE: DR. MELISSA RAE OSBORNE 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	16913	GA
2	1835P1200X	Pharmacotherapy Pharmacist	2003031452	MO

General Provider Information

NPI Number	:	1013137645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA RAE OSBORNE PHARMD

Provider Business Mailing Address
First Line	:	10213 N WYANDOTTE ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-3509
Country	:	US
Telephone Number	:	816-806-6251
Fax Number	:

Provider Business Practice Location Address
First Line	:	10213 N WYANDOTTE ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-3509
Country	:	US
Telephone Number	:	816-806-6251
Fax Number	:

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

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	09/11/2025

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