Active NPI
Marilyn Mercedes, PHARMD
- Pharmacist
- Bronx, NY
National Provider Identifier
1932783297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067216
- Practice address
- 4531 3Rd Ave
Bronx, NY 10458-7804 - Phone
- (718) 933-9900
- NPI assigned
- May 11, 2021
- 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 | 067216 | NY | Primary |
Addresses
Primary practice location
4531 3Rd Ave
Bronx, NY 10458-7804
Mailing address
360 E 234TH St Apt 5D
Bronx, NY 10470-2231
Phone (917) 853-0451
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Bronx |
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 |
|---|---|---|---|
| 067216 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Care Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1932783297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 E 234TH ST APT 5D",
"city": "BRONX",
"state": "NY",
"postal_code": "104702231",
"telephone_number": "917-853-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4531 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104587804",
"telephone_number": "718-933-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCEDES",
"first_name": "MARILYN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067216",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Bronx",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4531 3rd Ave",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104587804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.