Active NPI
Merchell Douglas, PHARMD
- Pharmacist
- Lawrenceville, GA
National Provider Identifier
1073938064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH019297
- Practice address
- 1257 Poison Oak CT
Lawrenceville, GA 30045-2630 - Phone
- (770) 237-2063
- NPI assigned
- Feb 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH019297 | GA | Primary |
| Oncology Pharmacist | 1835X0200X | RPH019297 | GA |
Addresses
Primary practice location
1257 Poison Oak CT
Lawrenceville, GA 30045-2630
Mailing address
1257 Poison Oak CT
Lawrenceville, GA 30045-2630
Phone (770) 237-2063
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH019297 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1073938064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 POISON OAK CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300452630",
"telephone_number": "770-237-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 POISON OAK CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300452630",
"telephone_number": "770-237-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "MERCHELL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-27",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH019297",
"primary": true
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "GA",
"license": "RPH019297",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.