Active NPI
John Anthony Marzuk, RPH
- Pharmacist
- Deerfield Beach, FL
National Provider Identifier
1396028080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19778
- Practice address
- 3768 W Hillsboro Blvd
Deerfield Beach, FL 33442-9412 - Phone
- (954) 360-7606
- NPI assigned
- Sep 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19778 | FL | Primary |
Addresses
Primary practice location
3768 W Hillsboro Blvd
Deerfield Beach, FL 33442-9412
Mailing address
23336 Boca Chica Cir
Boca Raton, FL 33433-7261
Phone (561) 391-8755
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19778 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1396028080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23336 BOCA CHICA CIR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337261",
"telephone_number": "561-391-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3768 W HILLSBORO BLVD",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334429412",
"telephone_number": "954-360-7606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARZUK",
"first_name": "JOHN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "19778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.