Active NPI
Dena Marzouk
- Pharmacist
- Mount Juliet, TN
National Provider Identifier
1124745955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46412
- Practice address
- 1067 Carlisle PL
Mount Juliet, TN 37122-1033 - Phone
- (615) 635-5736
- NPI assigned
- Oct 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46412 | TN | Primary |
Addresses
Primary practice location
1067 Carlisle PL
Mount Juliet, TN 37122-1033
Mailing address
1067 Carlisle PL
Mount Juliet, TN 37122-1033
Phone (615) 635-5736
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 |
|---|---|---|---|
| 46412 | TN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1124745955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1067 CARLISLE PL",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371221033",
"telephone_number": "615-635-5736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 CARLISLE PL",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371221033",
"telephone_number": "615-635-5736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARZOUK",
"first_name": "DENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "46412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.