Active NPI
Nicole Shauntae Merrick, PHARM.D.
- Pharmacist
- Lakewood, CO
National Provider Identifier
1386953586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA-18374
- Practice address
- 8695 W Wesley PL
Lakewood, CO 80227-3066 - Phone
- (303) 829-7352
- NPI assigned
- Oct 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.018928 | LA | |
| Pharmacist | 183500000X | PHA-18374 | CO | Primary |
Addresses
Primary practice location
8695 W Wesley PL
Lakewood, CO 80227-3066
Mailing address
9390 W Cross Dr
Littleton, CO 80123-2202
Phone (720) 922-1524
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA-18374 | CO | MD | Pharmacist |
| PST.018928 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718496000000",
"number": "1386953586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9390 W CROSS DR",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801232202",
"telephone_number": "720-922-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8695 W WESLEY PL",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802273066",
"telephone_number": "303-829-7352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRICK",
"first_name": "NICOLE",
"middle_name": "SHAUNTAE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2024-06-16",
"certification_date": "2024-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.018928",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA-18374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.