Matthew Francis Marn, CPHT

Primary specialty

PharmacistTaxonomy code 183500000X

License

5303034730 Issued in MI

Practice address

14700 US 31
Grand Haven, MI 49417-8390

Phone

(616) 844-4184

Fax

(616) 844-4189

NPI assigned

Oct 5, 2021

Last updated

Oct 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  dba Walmart Pharmacy10-5386

  • Community/Retail Pharmacy
  • Grand Haven, MI
  • NPI 1134328610
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1366104507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 US 31",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178390",
            "telephone_number": "616-844-4184",
            "fax_number": "616-844-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 US 31",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178390",
            "telephone_number": "616-844-4184",
            "fax_number": "616-844-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARN",
        "first_name": "MATTHEW",
        "middle_name": "FRANCIS",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5303034730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Malek, MA, LPC, NCC
• Lauren Elaine Malinowski, MSW
• Maria Z Herrala LLC
• Jamie Marine
• Emily Clare Markatos
• Marsha Barnosky Coaching & Consulting
• Marsha Barnosky LLC (Marsha Barnosky Coaching and Consulting)
• Allison Marie Marshall
• Bradley A Martino, DO
• Hannah Claire Mathiot, LMSW

• Pharmacist in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.