Individual provider Active NPI

Samir A Meram, PHARMD

  • Pharmacist
  • Greeley, CO
National Provider Identifier
1104590132
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23644 Issued in CO
Practice address
6922 W 10TH St
Greeley, CO 80634-9726
Phone
(970) 392-4150
NPI assigned
Aug 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23644 CO Primary

Addresses

Primary practice location

6922 W 10TH St
Greeley, CO 80634-9726

Mailing address

6600 8TH St Unit 1110
Greeley, CO 80634-1368
Phone (858) 382-6796

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

LicenseStateTypeSpecialty
23644COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Companies LLC PastSince Aug 8, 2021 Accepting new patients
Dillon Companies LLC PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1104590132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 8TH ST UNIT 1110",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341368",
            "telephone_number": "858-382-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6922 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349726",
            "telephone_number": "970-392-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERAM",
        "first_name": "SAMIR",
        "middle_name": "A",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "23644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.