Active NPI
Martha Elizabeth Merrill-Ellebracht, PHARMD
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1831794775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2020027160
- Practice address
- 8867 Ladue Rd
Saint Louis, MO 63124-2045 - Phone
- (314) 725-3264
- Fax
- (314) 725-8534
- NPI assigned
- Nov 30, 2020
- Last updated
- May 22, 2023
- 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 | 2020027160 | MO | Primary |
Addresses
Primary practice location
8867 Ladue Rd
Saint Louis, MO 63124-2045
Mailing address
8867 Ladue Rd
Saint Louis, MO 63124-2045
Phone (314) 725-3264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020027160 | Other | MO | BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | cvs.com |
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 |
|---|---|---|---|
| 2020027160 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1831794775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8867 LADUE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631242045",
"telephone_number": "314-725-3264",
"fax_number": "314-725-8534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8867 LADUE RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631242045",
"telephone_number": "314-725-3264",
"fax_number": "314-725-8534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL-ELLEBRACHT",
"first_name": "MARTHA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2023-05-22",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2020027160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "2020027160",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "cvs.com",
"affiliation": "N",
"address_1": "7450 Hampton Ave",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631093931",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.