Organization Active NPI

Marcum's Pharmacy, Inc

Doing business as Marcum's SafePak Plus

  • Long Term Care Pharmacy
  • Kingsport, TN
National Provider Identifier
1275231052
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MARCUM'S PHARMACY, INC
Doing business as
Marcum's SafePak Plus
Practice address
902 Broad St
Kingsport, TN 37660-3815
Phone
(423) 246-6166
Fax
(423) 246-9259
NPI assigned
Feb 21, 2023
Last updated
Mar 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MARCUM'S PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Dr. Colton N Marcum, PHARMDNPI 1902243496
Title
Owner
Phone
(423) 246-6166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

902 Broad St
Kingsport, TN 37660-3815

Mailing address

902 Broad St
Kingsport, TN 37660-3815
Phone (423) 246-6166

Other names 1

  • Marcum's SafePak Plus Doing business as

National Provider Directory

National Provider Directory
Part of
Marcums Pharmacy

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1275231052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BROAD ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603815",
            "telephone_number": "423-246-6166",
            "fax_number": "423-246-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BROAD ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603815",
            "telephone_number": "423-246-6166",
            "fax_number": "423-246-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUM'S PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARCUM'S PHARMACY, INC",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "MARCUM",
        "authorized_official_first_name": "COLTON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-246-6166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcum's SafePak Plus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marcum's SafePak Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.