Individual provider Active NPI

Marc Badros Morcos, PHARMACIST

  • Pharmacist
  • Tempe, AZ
National Provider Identifier
1396167714
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15400 Issued in AZ
Practice address
671 E Apache Blvd
Tempe, AZ 85281-6717
Phone
(480) 967-2307
NPI assigned
Jan 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15400 AZ Primary

Addresses

Primary practice location

671 E Apache Blvd
Tempe, AZ 85281-6717

Mailing address

7353 E University Dr Apt 1019
Mesa, AZ 85207-6505
Phone (646) 963-5065

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

State licenses

LicenseStateTypeSpecialty
15400AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1396167714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7353 E UNIVERSITY DR APT 1019",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076505",
            "telephone_number": "646-963-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 E APACHE BLVD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816717",
            "telephone_number": "480-967-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADROS MORCOS",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "15400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.