Active NPI
Clinton Gary Merkel, PHARMD
- Ambulatory Care Pharmacist
- Lawrence, KS
National Provider Identifier
1124480553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 1-15118
- Practice address
- 2415 Massachusetts St
Lawrence, KS 66046-4827 - Phone
- (785) 832-4891
- Fax
- (785) 832-4878
- NPI assigned
- Mar 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 1-15118 | KS | Primary |
Addresses
Primary practice location
2415 Massachusetts St
Lawrence, KS 66046-4827
Mailing address
2415 Massachusetts St
Lawrence, KS 66046-4827
Phone (785) 832-4891
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 |
|---|---|---|---|
| 1-15118 | KS | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1124480553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 MASSACHUSETTS ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660464827",
"telephone_number": "785-832-4891",
"fax_number": "785-832-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 MASSACHUSETTS ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660464827",
"telephone_number": "785-832-4891",
"fax_number": "785-832-4878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKEL",
"first_name": "CLINTON",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "KS",
"license": "1-15118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.