Active NPI
Merlin Paul
- Pharmacist
- Summerfield, NC
National Provider Identifier
1942977699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31062
- Practice address
- 4568 US Highway 220 N
Summerfield, NC 27358-9412 - Phone
- (336) 644-1765
- NPI assigned
- Aug 29, 2021
- Last updated
- Jan 12, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS62121 | FL | |
| Pharmacist | 183500000X | 0202219092 | VA | |
| Pharmacist | 183500000X | 31062 | NC | Primary |
Addresses
Primary practice location
4568 US Highway 220 N
Summerfield, NC 27358-9412
Mailing address
515 Song Sparrow LN
Greensboro, NC 27409-9148
Phone (754) 802-9667
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS62121 | FL | MD | Pharmacist |
| 31062 | NC | MD | Pharmacist |
| 0202219092 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4568 US Highway 220 N
Summerfield, NC 27358
Phone (336) 644-1765
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1942977699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 SONG SPARROW LN",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274099148",
"telephone_number": "754-802-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4568 US HIGHWAY 220 N",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589412",
"telephone_number": "336-644-1765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "MERLIN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-29",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS62121",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202219092",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "31062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerfield, NC
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #05532)
- Novant Health Medical Group, LLC (Novant Health Northern Family Medicine)
- Novant Medical Group, Inc. (Novant Health Forsyth Pediatrics)
- Dipa J Oza
- Tristan James Parry, DDS
- Lindsly Pittman, MS, OTR/L
- Benton Todd Powley, PTA
- Preventative Wellness Solutions I PLLC
- Proactive Therapy and Wellness
- Lisa Ann Rancer, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.