Active NPI
Marty Ray Marsee Jr., PHARMD
- Pharmacist
- Alcoa, TN
National Provider Identifier
1144783317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42395
- Practice address
- 111 S Hall Rd
Alcoa, TN 37701-2639 - Phone
- (865) 983-0573
- NPI assigned
- Apr 12, 2019
- 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 | 42395 | TN | Primary |
Addresses
Primary practice location
111 S Hall Rd
Alcoa, TN 37701-2639
Mailing address
283 Creekwood Cove LN Apt 5B
Lenoir City, TN 37772-6398
Phone (423) 494-7423
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42395 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee CVS Pharmacy, L.L.C. | 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 and National Provider Directory roles.
-
- Pharmacy
- Alcoa, TN
- NPI 1699878306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1144783317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 CREEKWOOD COVE LN APT 5B",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377726398",
"telephone_number": "423-494-7423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S HALL RD",
"city": "ALCOA",
"state": "TN",
"postal_code": "377012639",
"telephone_number": "865-983-0573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSEE",
"first_name": "MARTY",
"middle_name": "RAY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-12",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "42395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alcoa, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.