Active NPI
Iana Mervin, PHARMD
- Pharmacist
- Naples, FL
National Provider Identifier
1154964104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS52605
- Practice address
- 5010 Airport Pulling Rd N
Naples, FL 34105-2407 - Phone
- (239) 213-3359
- Fax
- (239) 213-4212
- NPI assigned
- Oct 22, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS52605 | FL | Primary |
Addresses
Primary practice location
5010 Airport Pulling Rd N
Naples, FL 34105-2407
Mailing address
5010 Airport Pulling Rd N
Naples, FL 34105-2407
Phone (239) 213-3359
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | imervin.s04354@wal-mart.com |
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 |
|---|---|---|---|
| PS52605 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | 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.
-
- Community/Retail Pharmacy
- Naples, FL
- NPI 1356474472
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1154964104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 AIRPORT PULLING RD N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341052407",
"telephone_number": "239-213-3359",
"fax_number": "239-213-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 AIRPORT PULLING RD N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341052407",
"telephone_number": "239-213-3359",
"fax_number": "239-213-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERVIN",
"first_name": "IANA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52605",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "imervin.s04354@wal-mart.com",
"affiliation": "N",
"address_1": "5010 Airport Pulling Rd N",
"city": "Naples",
"state": "FL",
"country_code": "US",
"postal_code": "341052407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.