Individual provider Active NPI

Debra K. Marchetti, PHARM D.

  • Pharmacist
  • Pocatello, ID
National Provider Identifier
1154533636
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P5449 Issued in ID
Practice address
1015 E Young St Ste B
Pocatello, ID 83201-5237
Phone
(208) 232-0049
Fax
(208) 232-3963
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P5449 ID Primary

Addresses

Primary practice location

1015 E Young St Ste B
Pocatello, ID 83201-5237

Mailing address

3575 Ridgewood Rd.
Pocatello, ID 83201
Phone (208) 380-2303

Other identifiers 1

IdentifierTypeStateIssuer
TPID015288MedicaidID

Other names 1

  • Mrs. Debbie Marchetti Other name

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

LicenseStateTypeSpecialty
P5449IDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Shop Inc PastSince Apr 5, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1154533636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 RIDGEWOOD RD.",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-380-2303",
            "fax_number": "208-232-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E YOUNG ST STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015237",
            "telephone_number": "208-232-0049",
            "fax_number": "208-232-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHETTI",
        "first_name": "DEBRA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TPID015288",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "MARCHETTI",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.