Individual provider Active NPI

Steve B Maruschak Jr., PHARMACIST

  • Pharmacist
  • Daphne, AL
National Provider Identifier
1013508977
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15343 Issued in AL
Practice address
9052 Independence Ave
Daphne, AL 36526-5613
Phone
(800) 873-7874
Fax
(800) 627-4838
NPI assigned
Feb 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25273 FL
Pharmacist 183500000X 15343 AL Primary

Addresses

Primary practice location

9052 Independence Ave
Daphne, AL 36526-5613

Mailing address

3515 Arizona Dr
Pensacola, FL 32504-4410
Phone (850) 860-9365

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address steve.maruschak@pharmerica.com Direct
CONNECT URL www.pharmerica.com Direct

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

LicenseStateTypeSpecialty
25273FLMDPharmacist
15343ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Corporation of America PastSince Feb 7, 2021 Accepting new patients
Pharmacy Corporation of America PastSince Feb 7, 2021 Accepting new patients

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1013508977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 ARIZONA DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044410",
            "telephone_number": "850-860-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9052 INDEPENDENCE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365265613",
            "telephone_number": "800-873-7874",
            "fax_number": "800-627-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUSCHAK",
        "first_name": "STEVE",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "25273",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steve.maruschak@pharmerica.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9052 Independence Ave",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365265613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pharmerica.com",
            "affiliation": "N",
            "endpointDescription": "webpage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9052 Independence Ave",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365265613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.