Individual provider Active NPI

Gary None Marx, RPH

  • Pharmacist
  • Carlsbad, CA
National Provider Identifier
1114072592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26880 Issued in CA
Practice address
8070 Sitio Toledo
Carlsbad, CA 92009-9552
Phone
(760) 753-4987
Fax
(760) 944-9706
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26880 CA Primary

Addresses

Primary practice location

8070 Sitio Toledo
Carlsbad, CA 92009-9552

Mailing address

8070 Sitio Toledo
Carlsbad, CA 92009-9552
Phone (760) 753-4987

Other identifiers 3

IdentifierTypeStateIssuer
LICENSE # RPH0008242OtherORPHARMACIST LICENSE NUMBER
LICENSE # 26880OtherCAPHARMACIST LICENSE NUMBER
LICENSE # 5302020573OtherMIPHARMACIST LICENSE FOR MI

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26880CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114072592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 SITIO TOLEDO",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920099552",
            "telephone_number": "760-753-4987",
            "fax_number": "760-944-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 SITIO TOLEDO",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920099552",
            "telephone_number": "760-753-4987",
            "fax_number": "760-944-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARX",
        "first_name": "GARY",
        "middle_name": "NONE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "26880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "LICENSE # RPH0008242",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "LICENSE # 26880",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE FOR MI",
            "identifier": "LICENSE # 5302020573",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.