Yvonne G. Marascalco

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

YVONNE G. MARASCALCO

Practice address

1300 Sunset Drive
Suite C
Grenada, MS 38901

Phone

(662) 226-0666

Fax

(662) 226-1718

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Yvonne G Marascalco

Title

Owner

Phone

(662) 230-1940

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FIRST HEALTH PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John David Nobile

  • Pharmacist
  • Grenada, MS
  • NPI 1023607199
  NPD (past)
• Michelle Vanhorn, RPH

  • Pharmacist
  • Grenada, MS
  • NPI 1073276770
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1407969660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DRIVE",
            "address_2": "SUITE C",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "38901",
            "telephone_number": "662-226-0666",
            "fax_number": "662-226-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DRIVE",
            "address_2": "SUITE C",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "38901",
            "telephone_number": "662-226-0666",
            "fax_number": "662-226-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVONNE G. MARASCALCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "MARASCALCO",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-230-1940"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330632",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Nicole Woods, FNP
• Elizabeth Michelle Woods, LMSW
• Laura Deanna Woods, LCSW
• Marionette Yarbrough, PT
• Randy Young Jr., PT,DPT

• Community/Retail Pharmacy in Grenada, MS
• Providers in Grenada, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.