Marwood Low Cost Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

60006189A Issued in IN

Legal business name

MARWOOD LOW COST PHARMACY

Doing business as

Marwood Low Cost Pharmacy

Practice address

3381 Kentucky Ave
Indianapolis, IN 46221-2305

Phone

(317) 246-6700

NPI assigned

Nov 24, 2008

Organization subpart

Yes

Parent organization

MARWOOD LOW COST PHARMACYAs reported in NPPES

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

Authorized official

Name

Methqal Abu-Mahfouz

Title

Pharmacist

Phone

(317) 590-1271

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MARWOOD LOW COST PHARMACY Doing business as

Part of

Marwood Low Cost Pharmacy

Locations

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1235384827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 KENTUCKY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212305",
            "telephone_number": "317-246-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 KENTUCKY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462212305",
            "telephone_number": "317-246-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWOOD LOW COST PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARWOOD LOW COST PHARMACY",
        "enumeration_date": "2008-11-24",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "ABU-MAHFOUZ",
        "authorized_official_first_name": "METHQAL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "317-590-1271"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60006189A",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200932340A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1562582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARWOOD LOW COST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffery William Martz, DC
• Pertisha Maruhom
• Kei Maruyama
• Joseph Marvar
• Makenzie Marwitz, RBT
• Cylie Drew Marx
• Patrick Thomas Marx, MD
• John C Marxer, MD
• Mary Beth Winter
• Mary D Bush, MD,PC

• Pharmacy in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.