Merrill Corporation

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

60006042 Issued in IN

Legal business name

MERRILL CORPORATION

Doing business as

Merrillcare

Practice address

610 N Main St
Mishawaka, IN 46545-6620

Phone

(574) 255-1835

Fax

(574) 968-0108

NPI assigned

Feb 26, 2007

Last updated

Jan 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Merrill, RPH

Title

President

Phone

(574) 255-1835

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MERRILLCARE Doing business as

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1144356650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456620",
            "telephone_number": "574-255-1835",
            "fax_number": "574-968-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456620",
            "telephone_number": "574-255-1835",
            "fax_number": "574-968-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-255-1835",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "60006042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090500A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1561403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERRILLCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Long Term Care Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.