Active NPI
Merek Marcantel, RPH
- Pharmacist
- Pineville, LA
National Provider Identifier
1467733055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11165
- Practice address
- 4828 Shreveport Hwy
Pineville, LA 71360-3835 - Phone
- (318) 640-1682
- Fax
- (318) 640-6945
- NPI assigned
- Sep 8, 2011
- Last updated
- Apr 6, 2017
- 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 | 11165 | LA | Primary |
Addresses
Primary practice location
4828 Shreveport Hwy
Pineville, LA 71360-3835
Mailing address
4828 Shreveport Hwy
Pineville, LA 71360-3835
Phone (318) 640-1682
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 |
|---|---|---|---|
| 11165 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Freds Pharmacy 3648
- Community/Retail Pharmacy
- Greenville, MS
- NPI 1093969016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1467733055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4828 SHREVEPORT HWY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713603835",
"telephone_number": "318-640-1682",
"fax_number": "318-640-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4828 SHREVEPORT HWY",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713603835",
"telephone_number": "318-640-1682",
"fax_number": "318-640-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCANTEL",
"first_name": "MEREK",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-08",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "11165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.