Kelly Louise Marcin, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

14303 Issued in MD

Practice address

403 Constant Friendship Blvd
T-1871
Abingdon, MD 21009-2566

Phone

(410) 670-9001

Fax

(410) 670-9001

NPI assigned

Jun 15, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1063707289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CONSTANT FRIENDSHIP BLVD",
            "address_2": "T-1871",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092566",
            "telephone_number": "410-670-9001",
            "fax_number": "410-670-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CONSTANT FRIENDSHIP BLVD",
            "address_2": "T-1871",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092566",
            "telephone_number": "410-670-9001",
            "fax_number": "410-670-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIN",
        "first_name": "KELLY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maryland CVS Pharmacy LLC
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• Pharmacist in Abingdon, MD
• Providers in Abingdon, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.