Organization Active NPI

J B Merrick Apothecary Inc

  • Community/Retail Pharmacy
  • Ardmore, PA
National Provider Identifier
1457446460
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP411471L Issued in PA
Legal business name
J B MERRICK APOTHECARY INC
Practice address
31 Cricket Ave
Ardmore, PA 19003-0007
Phone
(610) 642-8900
Fax
(610) 642-8903
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph Nicholas Annarelli, RPHNPI 1023139144
Title
Reg Pharmacist Owner
Phone
(610) 642-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP411471L PA Primary

Addresses

Primary practice location

31 Cricket Ave
Ardmore, PA 19003-0007

Mailing address

31 Cricket Ave
P O Box # 7
Ardmore, PA 19003-2230
Phone (610) 642-8900

Other identifiers 2

IdentifierTypeStateIssuer
0006370680001MedicaidPA
3912183OtherPANCPDP

National Provider Directory

National Provider Directory

Locations

31 Cricket Ave
Ardmore, PA 19003
Phone (610) 642-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457446460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CRICKET AVE",
            "address_2": "P O BOX # 7",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032230",
            "telephone_number": "610-642-8900",
            "fax_number": "610-642-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CRICKET AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190030007",
            "telephone_number": "610-642-8900",
            "fax_number": "610-642-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J B MERRICK APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANNARELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "REG PHARMACIST OWNER",
        "authorized_official_telephone_number": "610-642-8900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411471L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006370680001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3912183",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.