Active NPI
Marco Mares-Saihua
- Pharmacist
- Grayling, MI
National Provider Identifier
1003352923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302035982
- Practice address
- 312 S James St
Grayling, MI 49738-1818 - Phone
- (989) 348-1350
- NPI assigned
- Jan 17, 2017
- Sex
- Male
- 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 | 5302035982 | MI | Primary |
Addresses
Primary practice location
312 S James St
Grayling, MI 49738-1818
Mailing address
82 Joseph Rd
Braintree, MA 02184-3016
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 |
|---|---|---|---|
| 5302035982 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1003352923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 JOSEPH RD",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021843016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S JAMES ST",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497381818",
"telephone_number": "989-348-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARES-SAIHUA",
"first_name": "MARCO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-17",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302035982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.