Marie Marcelino Renauer, PHARMD, MBA, BCACP

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

PCT.0013912 Issued in CT

Practice address

200 Orchard St Ste 209
New Haven, CT 06511

Phone

(203) 680-6323

NPI assigned

Jul 16, 2009

Last updated

May 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Marie Antoinette Marcelino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regents of the University of Michigan

  • Specialty Pharmacy
  • Dexter, MI
  • NPI 1952181919
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1114157880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ORCHARD ST STE 209",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115365",
            "telephone_number": "203-680-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORCHARD ST STE 209",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-680-6323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Briarwood Cir Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081605",
            "country_code": "US",
            "telephone_number": "734-998-7207",
            "fax_number": "734-998-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENAUER",
        "first_name": "MARIE",
        "middle_name": "MARCELINO",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MBA, BCACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21046",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CT",
            "license": "PCT.0013912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "MARCELINO",
            "middle_name": "ANTOINETTE",
            "prefix": "DR.",
            "credential": "PHARMD, MBA, BCACP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael S Remetz, MD
• Robert W. Remington, M.D.
• Clarissa C Ren
• Renal Research Institute, LLC (New Haven Home Dialysis)
• Edwin Renaud, LCSW PHD
• Alexander Rende, M.D.
• Daniela Brenda Renedo, MD
• Sara Janine Renna, PA-C
• Jennifer Renz, M.D.
• Rescare Connecticut, Inc.

• Ambulatory Care Pharmacist in New Haven, CT
• Providers in New Haven, CT by specialty
• Ambulatory Care Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.