Active NPI
Herbert Alberto Marroquin Jr., RPH
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1407488802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0023721
- Practice address
- 3570 Hartsel Dr
Colorado Springs, CO 80920-4165 - Phone
- (719) 590-7515
- NPI assigned
- Feb 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82003 | CA | |
| Pharmacist | 183500000X | PHA.0023721 | CO | Primary |
Addresses
Primary practice location
3570 Hartsel Dr
Colorado Springs, CO 80920-4165
Mailing address
5822 Wisteria Dr
Colorado Springs, CO 80919-4410
Phone (661) 839-3757
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 |
|---|---|---|---|
| 82003 | CA | MD | Marriage & Family Therapist |
| PHA.0023721 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1407488802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5822 WISTERIA DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809194410",
"telephone_number": "661-839-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 HARTSEL DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809204165",
"telephone_number": "719-590-7515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARROQUIN",
"first_name": "HERBERT",
"middle_name": "ALBERTO",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-04",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82003",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0023721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.