Merich Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3-4619 Issued in OK

Legal business name

MERICH CORPORATION

Doing business as

WEST END DRUG

Practice address

7210 NW Cache Rd
Lawton, OK 73505-2712

Phone

(580) 536-1133

Fax

(580) 536-5945

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Brad Clemmer, RPH

Title

Owner and Pharm

Phone

(580) 536-1133

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WEST END DRUG Doing business as

Locations

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1437157559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052712",
            "telephone_number": "580-536-1133",
            "fax_number": "580-536-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 NW CACHE RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735052712",
            "telephone_number": "580-536-1133",
            "fax_number": "580-536-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERICH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "CLEMMER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER AND PHARM",
        "authorized_official_telephone_number": "580-536-1133",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "3-4619",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100850780A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2074867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST END DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lawton, OK
• Providers in Lawton, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.