Active NPI
Trent Steven Merkwan, RPH
- Pharmacotherapy Pharmacist
- Miller, SD
National Provider Identifier
1891806188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 4885
- Practice address
- 209 N Broadway Ave
Miller, SD 57362-1340 - Phone
- (605) 853-3647
- Fax
- (605) 853-3744
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 4885 | SD | Primary |
Addresses
Primary practice location
209 N Broadway Ave
Miller, SD 57362-1340
Mailing address
209 N Broadway Ave
Miller, SD 57362-1340
Phone (605) 853-3647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8500352 | Medicaid | SD |
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 |
|---|---|---|---|
| 4885 | SD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faulkton Pharmacy Incorporated | Current | Accepting new patients | |
| Miller Rexall Drug Co | Current | Accepting new patients |
Locations
209 N Broadway Ave
Miller, SD 57362
Phone (605) 853-3647
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.
-
- Community/Retail Pharmacy
- Miller, SD
- NPI 1538198684
-
dba Faulkton Drug
- Community/Retail Pharmacy
- Faulkton, SD
- NPI 1134370448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891806188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 N BROADWAY AVE",
"city": "MILLER",
"state": "SD",
"postal_code": "573621340",
"telephone_number": "605-853-3647",
"fax_number": "605-853-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 N BROADWAY AVE",
"city": "MILLER",
"state": "SD",
"postal_code": "573621340",
"telephone_number": "605-853-3647",
"fax_number": "605-853-3744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKWAN",
"first_name": "TRENT",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "SD",
"license": "4885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8500352",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miller, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.