Active NPI
Robert Marquardt III
- Pharmacist
- Canton, OH
National Provider Identifier
1104275023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 06011126
- Practice address
- 3801 Harmont Ave NE
Canton, OH 44705-4331 - Phone
- (330) 453-2578
- NPI assigned
- Jun 10, 2016
- 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 | 06011126 | OH | Primary |
Addresses
Primary practice location
3801 Harmont Ave NE
Canton, OH 44705-4331
Mailing address
4217 Chester Ave
Louisville, OH 44641-8218
Phone (330) 933-3483
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 |
|---|---|---|---|
| 06011126 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1104275023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4217 CHESTER AVE",
"city": "LOUISVILLE",
"state": "OH",
"postal_code": "446418218",
"telephone_number": "330-933-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 HARMONT AVE NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447054331",
"telephone_number": "330-453-2578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUARDT",
"first_name": "ROBERT",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-10",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "06011126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.