Active NPI
Kara L Maryansky
- Pharmacist
- Salisbury, NC
National Provider Identifier
1124504220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18312
- Practice address
- 1431 W Innes St
Salisbury, NC 28144-2501 - Phone
- (800) 633-3977
- Fax
- (800) 615-0075
- NPI assigned
- Jul 12, 2018
- Last updated
- Jul 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41756 | TN | |
| Pharmacist | 183500000X | 0202216648 | VA | |
| Pharmacist | 183500000X | 18312 | NC | Primary |
| Pharmacist | 183500000X | 37626 | SC |
Addresses
Primary practice location
1431 W Innes St
Salisbury, NC 28144-2501
Mailing address
1431 W Innes St
Salisbury, NC 28144-2501
Phone (800) 633-3977
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41756 | Other | TN | LICENSE NO. |
| 18312 | Other | NC | LICENSE NO. |
| 37626 | Other | SC | LICENSE NO. |
| 0202216648 | Other | VA | LICENSE NO. |
| 192827 | Other | NABP |
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 |
|---|---|---|---|
| 18312 | NC | MD | Pharmacist |
| 0202216648 | VA | MD | Pharmacist |
| 41756 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Pharmacy, LTD. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Salisbury, NC
- NPI 1982709309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1124504220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 W INNES ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442501",
"telephone_number": "800-633-3977",
"fax_number": "800-615-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 W INNES ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442501",
"telephone_number": "800-633-3977",
"fax_number": "800-615-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARYANSKY",
"first_name": "KARA",
"middle_name": "L",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "41756",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202216648",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18312",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37626",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "41756",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "18312",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "37626",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "0202216648",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "192827",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.