Active NPI
Robert Jerome Marcus, PH.D., R.PH.
- Pharmacist
- Woodland Hills, CA
National Provider Identifier
1174834675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 22965
- Practice address
- 6201 Valley Circle Blvd
Unit 3
Woodland Hills, CA 91367-1154 - Phone
- (818) 702-8920
- NPI assigned
- Jun 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH 22965 | CA | Primary |
Addresses
Primary practice location
6201 Valley Circle Blvd
Unit 3
Woodland Hills, CA 91367-1154
Mailing address
31910 Castaic Rd
Castaic, CA 91384-3929
Phone (661) 295-0966
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 22965 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless 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.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1174834675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31910 CASTAIC RD",
"city": "CASTAIC",
"state": "CA",
"postal_code": "913843929",
"telephone_number": "661-295-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 VALLEY CIRCLE BLVD",
"address_2": "UNIT 3",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913671154",
"telephone_number": "818-702-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "ROBERT",
"middle_name": "JEROME",
"name_prefix": "Mr.",
"credential": "PH.D., R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-30",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 22965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.