Active NPI
Marcus W Cox, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Chiloquin, OR
National Provider Identifier
1194725101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH0009602
- Practice address
- 330 Chiloquin Blvd
Chiloquin, OR 97624-6773 - Phone
- (541) 783-3551
- NPI assigned
- Aug 1, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH0009602 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH0009602 | OR | Primary |
Addresses
Primary practice location
330 Chiloquin Blvd
Chiloquin, OR 97624-6773
Mailing address
PO Box 490
Chiloquin, OR 97624
Phone (541) 783-3551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115761 | Medicaid | OR |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH0009602 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klamath Tribal Health & Family Services | Past | Accepting new patients | |
| Klamath Tribal Health & Family Services | Past | Accepting new patients |
Organizations & group practices 2
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
- Chiloquin, OR
- NPI 1588805832
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Chiloquin, OR
- NPI 1639290778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1194725101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "CHILOQUIN",
"state": "OR",
"postal_code": "97624",
"telephone_number": "541-783-3551",
"fax_number": "541-783-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 CHILOQUIN BLVD",
"city": "CHILOQUIN",
"state": "OR",
"postal_code": "976246773",
"telephone_number": "541-783-3551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "MARCUS",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0009602",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH0009602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115761",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chiloquin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.