MEDICARE: DR. KRISTEN CARTER MERRITT PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	APH11432	CA

General Provider Information

NPI Number	:	1073054706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN CARTER MERRITT PHARM.D.

Provider Business Mailing Address
First Line	:	20151 SW BIRCH ST STE 100
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-1794
Country	:	US
Telephone Number	:	949-270-2100
Fax Number	:	949-650-4458

Provider Business Practice Location Address
First Line	:	20151 SW BIRCH ST STE 100
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-1794
Country	:	US
Telephone Number	:	949-270-2100
Fax Number	:	949-650-4458

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2017
Last Update Date	:	08/20/2025

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