Active NPI
Joseph Mertz, R.PH.
- Pharmacist
- Norwich, CT
National Provider Identifier
1427228444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8308
- Practice address
- 624 W Main St
Norwich, CT 06360-6043 - Phone
- (860) 886-1417
- NPI assigned
- Mar 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8308 | CT | Primary |
Addresses
Primary practice location
624 W Main St
Norwich, CT 06360-6043
Mailing address
139 W Main St
Baltic, CT 06330-1035
Phone (860) 822-1747
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8308 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1427228444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 W MAIN ST",
"city": "BALTIC",
"state": "CT",
"postal_code": "063301035",
"telephone_number": "860-822-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W MAIN ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063606043",
"telephone_number": "860-886-1417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTZ",
"first_name": "JOSEPH",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "8308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.