Healthcare Provider Details

I. General information

NPI: 1578763736
Provider Name (Legal Business Name): JESSICA W MERREY PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST CARNEGIE 180
BALTIMORE MD
21287-5703
US

IV. Provider business mailing address

600 N WOLFE ST CARNEGIE 180
BALTIMORE MD
21287-5703
US

V. Phone/Fax

Practice location:
  • Phone: 410-614-1566
  • Fax: 410-614-8601
Mailing address:
  • Phone: 410-614-1566
  • Fax: 410-614-8601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number18822
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11803
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: