Merritt Sacks, PHARMD
Individual provider Active NPI Pharmacist · Sanibel, FL
NPI 1265035448 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1265035448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS58774 (FL)
- Practice address
- 2331 Palm Ridge Rd
Sanibel, FL 33957-3204 - Phone
- (239) 472-1719
- NPI assigned
- Nov 19, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS58774 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past |
Accepting new patients | |
| Holiday CVS LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS58774 | FL | Yes |
Addresses
Primary practice location
2331 Palm Ridge Rd
Sanibel, FL 33957-3204
Mailing address
10024 Heather LN Apt 1003
Naples, FL 34119-8993
Phone (239) 963-7286
Other providers in Sanibel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.