Active NPI
Sarita Nicole Merricks, PHARMD
- Pharmacist
- Fort Myers, FL
National Provider Identifier
1689277626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS57257
- Practice address
- 15550 San Carlos Blvd
Fort Myers, FL 33908-2550 - Phone
- (239) 433-2631
- Fax
- (239) 433-5484
- NPI assigned
- Nov 20, 2020
- Last updated
- Nov 20, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS57257 | FL | Primary |
Addresses
Primary practice location
15550 San Carlos Blvd
Fort Myers, FL 33908-2550
Mailing address
15550 San Carlos Blvd
Fort Myers, FL 33908-2550
Phone (239) 433-2631
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 |
|---|---|---|---|
| PS57257 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1689277626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15550 SAN CARLOS BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339082550",
"telephone_number": "239-433-2631",
"fax_number": "239-433-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15550 SAN CARLOS BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339082550",
"telephone_number": "239-433-2631",
"fax_number": "239-433-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRICKS",
"first_name": "SARITA",
"middle_name": "NICOLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS57257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.