Individual provider Active NPI

Deanna Lyn Merrick, PHARMD, BCGP

  • Geriatric Pharmacist
  • Akron, OH
National Provider Identifier
1700020658
Registry record updated Apr 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
03328782 Issued in OH
Practice address
4053 S Main St
Akron, OH 44319-3668
Phone
(330) 644-9911
Fax
(330) 644-9911
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03328782 OH
Geriatric Pharmacist 1835G0303X 03328782 OH Primary

Addresses

Primary practice location

4053 S Main St
Akron, OH 44319-3668

Mailing address

785 Denshire Dr NW
Canal Fulton, OH 44614-8663
Phone (330) 472-3249

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

LicenseStateTypeSpecialty
03328782OHMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618099200000",
    "number": "1700020658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 DENSHIRE DR NW",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446148663",
            "telephone_number": "330-472-3249",
            "fax_number": "855-619-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 S MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443193668",
            "telephone_number": "330-644-9911",
            "fax_number": "330-644-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "DEANNA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCGP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2021-04-11",
        "certification_date": "2021-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03328782",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "OH",
            "license": "03328782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2021; 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.