Chad Michael Merrill, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

P7031 Issued in ID

Practice address

180 S Holmes Ave
Idaho Falls, ID 83401-3945

Phone

(208) 525-8700

Fax

(208) 525-8636

NPI assigned

Feb 11, 2015

Last updated

Feb 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Mike's Pharmacy

  dba Mike's Pharmacy and Compounding

  • Community/Retail Pharmacy
  • Idaho Falls, ID
  • NPI 1295589794
  NPD Authorized official
• Mikes LTC Pharmacy LLC

  dba Mike's Long Term Care Pharmacy

  • Long Term Care Pharmacy
  • Idaho Falls, ID
  • NPI 1972398063
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1033500038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013945",
            "telephone_number": "208-525-8700",
            "fax_number": "208-525-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013945",
            "telephone_number": "208-525-8700",
            "fax_number": "208-525-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon David Mennear, M.D.
• Caroline Olivia Menser, OTD, OTR/L
• Merkley Anesthesia Services PC
• Bryan Todd Merkley, CRNA
• Kara Merkley
• Justin Merrill, PHARM.D
• Michael D Merrill, R.PH.
• Matthew J Merzlock, PA-C
• Justin Messenger, PHARM.D.
• Melina Dorren Meus, MFT

• Pharmacist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.