Active NPI
Marlena Annelise McCormac, PHARM.D.
- Pharmacist
- Scottsdale, AZ
National Provider Identifier
1356623409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020518
- Practice address
- 10453 N 105TH Way
Scottsdale, AZ 85258-4935 - Phone
- (661) 619-3833
- NPI assigned
- Sep 14, 2011
- 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 | 60361 | CA | |
| Pharmacist | 183500000X | 020518 | AZ | Primary |
Addresses
Primary practice location
10453 N 105TH Way
Scottsdale, AZ 85258-4935
Mailing address
10453 N 105TH Way
Scottsdale, AZ 85258-4935
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 |
|---|---|---|---|
| 60361 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 020518 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425081600000",
"number": "1356623409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10453 N 105TH WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10453 N 105TH WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584935",
"telephone_number": "661-619-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMAC",
"first_name": "MARLENA",
"middle_name": "ANNELISE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2015-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60361",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "020518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.