Active NPI
Francis Anthony Marino
- Pharmacist
- Tannersville, PA
National Provider Identifier
1245955764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP456753
- Practice address
- 413 RR 1, Route 611 and Old Mill Road
Tannersville, PA 18372 - Phone
- (570) 629-8554
- NPI assigned
- Oct 6, 2022
- 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 | RP456753 | PA | Primary |
Addresses
Primary practice location
413 RR 1, Route 611 and Old Mill Road
Tannersville, PA 18372
Mailing address
413 RR 1, Route 611 and Old Mill Road
Tannersville, PA 18372
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP456753 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1245955764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 RR 1, ROUTE 611 AND OLD MILL ROAD",
"city": "TANNERSVILLE",
"state": "PA",
"postal_code": "18372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 RR 1, ROUTE 611 AND OLD MILL ROAD",
"city": "TANNERSVILLE",
"state": "PA",
"postal_code": "18372",
"telephone_number": "570-629-8554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "FRANCIS",
"middle_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP456753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tannersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.