Individual provider Active NPI

David W Merrifield, R.PH.

  • Pharmacist
  • Goshen, IN
National Provider Identifier
1932493848
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26015002A Issued in IN
Practice address
3938 Midway Rd
T-1446
Goshen, IN 46526-5854
Phone
(574) 875-0610
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26015002A IN Primary

Addresses

Primary practice location

3938 Midway Rd
T-1446
Goshen, IN 46526-5854

Mailing address

3938 Midway Rd
T-1446
Goshen, IN 46526-5854
Phone (574) 875-0610

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

LicenseStateTypeSpecialty
26015002AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1932493848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 MIDWAY RD",
            "address_2": "T-1446",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265854",
            "telephone_number": "574-875-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 MIDWAY RD",
            "address_2": "T-1446",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265854",
            "telephone_number": "574-875-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIFIELD",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26015002A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.