Andrew James Merrick
Individual provider Active NPI Pharmacist · Quinton, VA
NPI 1386923951 · NPPES record last updated Aug 12, 2011
Key facts
- NPI
- 1386923951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202205951 (VA)
- Practice address
- 2587 New Kent Hwy
Quinton, VA 23141-1735 - Phone
- (804) 932-4336
- Fax
- (804) 932-8963
- NPI assigned
- Aug 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202205951 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202205951 | VA | Yes |
Addresses
Primary practice location
2587 New Kent Hwy
Quinton, VA 23141-1735
Mailing address
2587 New Kent Hwy
Quinton, VA 23141-1735
Phone (804) 932-4336
Other providers in Quinton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2011. 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.