Merline Mathew, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

62915 Issued in TX

Practice address

2051 Hall Johnson Rd
Grapevine, TX 76051-8735

Phone

(817) 410-8808

NPI assigned

Nov 17, 2020

Last updated

Jan 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CVS Pharmacy Inc

  dba CVS Pharmacy #17923

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)
• CVS Pharmacy Inc

  dba CVS Pharmacy # 07806

  • Pharmacy
  • Grapevine, TX
  • NPI 1518064013
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1366045098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 PIPELINE RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760227326",
            "telephone_number": "817-282-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HALL JOHNSON RD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518735",
            "telephone_number": "817-410-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Pipeline Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760227326",
            "country_code": "US",
            "telephone_number": "817-282-2581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "MERLINE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "62915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CVS PHARMACY",
            "identifier": "1366546178",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Grapevine",
            "affiliation": "N",
            "address_1": "2051 Hall Johnson Rd",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760518735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Oladunni Baiyeri M.D., P.a
• Melinda Jeanne Mashburn, RN, CPNP
• Tabetha Maslow, MSN, APRN, FNP-C
• Scott Alan Mason, D.D.S.
• Emily D Massey
• Paul Mathew
• Sunil Mathew
• Sina Matin, M.D.
• Christina L Matt, M.S., CCC-SLP
• Maverick County Hospital District (Bear Creek Nursing and Rehabilitation)

• Pharmacist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.