Active NPI
Merz Krom
- Pharmacist
- Goodyear, AZ
National Provider Identifier
1043882459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020879
- Practice address
- 1654 N Pebble Creek Pkwy
Goodyear, AZ 85395-2571 - Phone
- (623) 207-6808
- Fax
- (623) 207-6814
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- 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 | S020879 | AZ | Primary |
Addresses
Primary practice location
1654 N Pebble Creek Pkwy
Goodyear, AZ 85395-2571
Mailing address
4510 N 105TH Ave
Phoenix, AZ 85037-5111
Phone (480) 489-0435
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S020879 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients |
Locations
1654 N Pebble Creek Pkwy
Goodyear, AZ 85395
Phone (623) 207-6808
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Goodyear, AZ
- NPI 1215265145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1043882459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 N 105TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375111",
"telephone_number": "480-489-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1654 N PEBBLE CREEK PKWY",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952571",
"telephone_number": "623-207-6808",
"fax_number": "623-207-6814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROM",
"first_name": "MERZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.