Active NPI
Marrx, Inc
Doing business as Creswell Pharmacy
- Community/Retail Pharmacy
- Creswell, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RP-0003233-CS
- Legal business name
- MARRX, INC
- Doing business as
- Creswell Pharmacy
- Practice address
- 175 East Oregon Ave
Creswell, OR 97426 - Phone
- (541) 895-2413
- Fax
- (541) 895-2413
- NPI assigned
- Nov 28, 2016
- Last updated
- Jul 21, 2022
- Organization subpart
- Yes
- Parent organization
- MARRX, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Marr, RPH
- Title
- President
- Phone
- (541) 636-3522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | RP-0003233-CS | OR | Primary |
Addresses
Primary practice location
175 East Oregon Ave
Creswell, OR 97426
Mailing address
175 East Oregon Ave
Creswell, OR 97426
Phone (541) 895-2413
Other names 1
- Creswell Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090206000245 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 5991860983 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Creswell, OR; Eugene, OR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba River Road Healthmart Pharmacy
- Community/Retail Pharmacy
- Eugene, OR
- NPI 1770728925
O20090206000245
National Provider Directory
National Provider Directory- Part of
- Marrx Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Eugene, OR
- NPI 1659689107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1194268904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 EAST OREGON AVE",
"city": "CRESWELL",
"state": "OR",
"postal_code": "97426",
"telephone_number": "541-895-2413",
"fax_number": "541-895-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 EAST OREGON AVE",
"city": "CRESWELL",
"state": "OR",
"postal_code": "97426",
"telephone_number": "541-895-2413",
"fax_number": "541-895-2413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARRX, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARRX, INC",
"enumeration_date": "2016-11-28",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MARR",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-636-3522",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OR",
"license": "RP-0003233-CS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Creswell Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Creswell, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.