Individual provider Active NPI

Rebecca Jordan Merritt, RPH

  • Pharmacist
  • Huntington, WV
National Provider Identifier
1992286116
Registry record updated Sep 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0013267 Issued in WV
Practice address
1138 Hal Greer Blvd
Huntington, WV 25701-3700
Phone
(304) 523-0167
Fax
(304) 522-3984
NPI assigned
Aug 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IN0008940 WV
Pharmacist 183500000X RP0013267 WV Primary

Addresses

Primary practice location

1138 Hal Greer Blvd
Huntington, WV 25701-3700

Mailing address

591 Newman Rd
Lavalette, WV 25535-8719
Phone (304) 633-3575

Other practice location 1

1542 Spring Valley Dr
Huntington, WV 25704-9388
Phone (304) 696-7302

Other practice location 2

6414 US Route 60 E
Barboursville, WV 25504-1240
Phone (304) 736-0528

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
RP0013267WVMDPharmacist
IN0008940WVMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Aug 1, 2022 Accepting new patients
Walgreen Co PastSince Aug 1, 2022 Accepting new patients

Locations

5687 US Route 60
Barboursville, WV 25504
Phone (304) 736-0528

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1992286116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 NEWMAN RD",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255358719",
            "telephone_number": "304-633-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013700",
            "telephone_number": "304-523-0167",
            "fax_number": "304-522-3984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 Spring Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257049388",
            "country_code": "US",
            "telephone_number": "304-696-7302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6414 US Route 60 E",
            "address_purpose": "LOCATION",
            "city": "Barboursville",
            "state": "WV",
            "postal_code": "255041240",
            "country_code": "US",
            "telephone_number": "304-736-0528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "REBECCA",
        "middle_name": "JORDAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-25",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WV",
            "license": "IN0008940",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0013267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2022; 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.