Active NPI
Gretchen Pasion Marcelino, PHARMD, BCPS
- Pharmacist
- Folsom, CA
National Provider Identifier
1316457500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80226
- Practice address
- 9479 Madison Ave
Folsom, CA 95630-2092 - Phone
- (916) 987-0342
- NPI assigned
- Oct 3, 2017
- Last updated
- Jul 8, 2019
- Sex
- Female
- 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 | 80226 | CA | Primary |
| Pharmacist | 183500000X | 063451 | NY |
Addresses
Primary practice location
9479 Madison Ave
Folsom, CA 95630-2092
Mailing address
1100 Roseville Pkwy Apt 1111
Roseville, CA 95678-4110
Phone (808) 203-9683
Other practice location 1
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063451 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1316457500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 ROSEVILLE PKWY APT 1111",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956784110",
"telephone_number": "808-203-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9479 MADISON AVE",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956302092",
"telephone_number": "916-987-0342"
}
],
"practiceLocations": [
{
"address_1": "2315 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172201",
"country_code": "US",
"telephone_number": "916-734-2011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCELINO",
"first_name": "GRETCHEN",
"middle_name": "PASION",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80226",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063451",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
- Mavis Manthe
- Wendi Manuele, PHARM D
- Roger Mar-Tang, M.D.
- Lauren Hoffman Marasa, M.D.
- Marc Cabanne DO Inc (Northern California Neuro Spine Institute)
- Maria Gloria Estipona,D.D.S.,Inc.
- Evelyn Dorothy Marios, MFT
- Mark David Levine, MD Folsom PC (Community Psychiatry Associates, Folsom)
- Mark Engel Dental Practice a Dental Corporation (Folsom Dental Sleep Medicine)
- Mark J. Young, DDS, MMSC, Inc. (Creekside Endodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.