Active NPI
Debra K. Marchetti, PHARM D.
- Pharmacist
- Pocatello, ID
National Provider Identifier
1154533636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5449
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TPID015288 | Medicaid | ID |
Other names 1
- Mrs. Debbie Marchetti
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 |
|---|---|---|---|
| P5449 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Shop Inc | 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.
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1679639462
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.