J P Marco Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY36756 Issued in CA

Legal business name

J P MARCO INC

Doing business as

Marco's Farmacia

Practice address

4762 Whittier Blvd
Los Angeles, CA 90022-3026

Phone

(323) 269-7958

Fax

(323) 269-1312

NPI assigned

Aug 18, 2006

Last updated

Jun 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Marco, RPH

Title

Pic

Phone

(323) 269-7958

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MARCO'S FARMACIA Doing business as

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1265546238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4762 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223026",
            "telephone_number": "323-269-7958",
            "fax_number": "323-269-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4762 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223026",
            "telephone_number": "323-269-7958",
            "fax_number": "323-269-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J P MARCO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "MARCO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "323-269-7958",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY36756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA367560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1993436",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARCO'S FARMACIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.