Marcelyn Jay Hagan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

26016197A Issued in IN

Practice address

2150 E National Ave
Brazil, IN 47834-2831

Phone

(812) 443-0466

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Brazil, IN
  • NPI 1831116045
  NPD (past)
• Wal-Mart Stores East, LP

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2020.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1386244754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 E COUNTY ROAD 1200 N",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478347056",
            "telephone_number": "812-446-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342831",
            "telephone_number": "812-443-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "MARCELYN",
        "middle_name": "JAY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26016197A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Kay Girton, RD
• Miranda Anne Goodale, DPM
• Erin Jenelle Graves, MASTERS DEGREE
• David Guenther
• Guidance Pediatrics and Autism Services LLC
• Adrienne Ann Hagedorn, D.C
• M'Lissa S Haldt, R. P. T.
• Janice Renee Hammond, N.P.
• Skyann Lacy Hardey, M.S.
• Russell C Harms, D.P.M.

• All providers in Brazil, IN
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.