Active NPI
Robert Eden Merchant, RPH
- Pharmacist
- Columbia, SC
National Provider Identifier
1205168416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5370
- Practice address
- 4400 Fort Jackson Blvd
Columbia, SC 29209-1006 - Phone
- (803) 782-8508
- Fax
- (803) 738-1889
- NPI assigned
- Feb 12, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 5370 | SC | Primary |
Addresses
Primary practice location
4400 Fort Jackson Blvd
Columbia, SC 29209-1006
Mailing address
4400 Fort Jackson Blvd
Columbia, SC 29209-1006
Phone (803) 782-8508
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5370 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266019200000",
"number": "1205168416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 FORT JACKSON BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292091006",
"telephone_number": "803-782-8508",
"fax_number": "803-738-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 FORT JACKSON BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292091006",
"telephone_number": "803-782-8508",
"fax_number": "803-738-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCHANT",
"first_name": "ROBERT",
"middle_name": "EDEN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-12",
"last_updated": "2010-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "5370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.