Panida Elizabeth Von Merveldt, CPTH

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

246619 Issued in TX

Practice address

700 N Denton Tap Rd
Coppell, TX 75019-2162

Phone

(469) 322-6815

Fax

(469) 322-6816

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Panida Sae-Tang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1346893229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N DENTON TAP RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192162",
            "telephone_number": "469-322-6815",
            "fax_number": "469-322-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N DENTON TAP RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192162",
            "telephone_number": "469-322-6815",
            "fax_number": "469-322-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON MERVELDT",
        "first_name": "PANIDA",
        "middle_name": "ELIZABETH",
        "credential": "CPTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "246619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PANIDA",
            "last_name": "SAE-TANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacy Technician in Coppell, TX
• Providers in Coppell, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.