Active NPI
Michael Mericle, RPH
- Pharmacist
- Durango, CO
National Provider Identifier
1851686174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17338
- Practice address
- 28 Town PLZ
Durango, CO 81301-5102 - Phone
- (970) 247-5057
- NPI assigned
- Jun 15, 2011
- Last updated
- Jun 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17338 | CO | Primary |
| Pharmacist | 183500000X | 20791 | TX |
Addresses
Primary practice location
28 Town PLZ
Durango, CO 81301-5102
Mailing address
154 Iron King Rd
Durango, CO 81301
Phone (970) 259-5147
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 |
|---|---|---|---|
| 17338 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1851686174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 IRON KING RD",
"city": "DURANGO",
"state": "CO",
"postal_code": "81301",
"telephone_number": "970-259-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 TOWN PLZ",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015102",
"telephone_number": "970-247-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERICLE",
"first_name": "MICHAEL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "17338",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "20791",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
- Mercy Regional Medical Center of Durango (Four Corners Infectious Disease & Internal Medicine)
- Mercy Regional Medical Center of Durango
- Mercy Regional Medical Center of Durango (Four Corners Pulmonary & Critical Care Medicine)
- Mercy Regional Medical Center of Durango
- Mercy Regional Medical Center of Durango
- David B Merritt, MD
- Brandon Messerli, DO
- Lisa Ann Messerli, MS, RD, CD
- Patrick Messerli, MD
- Taylor Paige Messina, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.