Individual provider Active NPI

Mary Mullis March, RPH

  • Pharmacist
  • Elizabeth City, NC
National Provider Identifier
1417488594
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
07828 Issued in NC
Practice address
101 Tanglewood Pkwy N
Walmart Pharmacy
Elizabeth City, NC 27909-7788
Phone
(252) 338-2354
Fax
(252) 338-1927
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 07828 NC Primary

Addresses

Primary practice location

101 Tanglewood Pkwy N
Walmart Pharmacy
Elizabeth City, NC 27909-7788

Mailing address

101 Tanglewood Pkwy N
Walmart Pharmacy
Elizabeth City, NC 27909-7788
Phone (252) 338-2354

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

LicenseStateTypeSpecialty
07828NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1417488594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TANGLEWOOD PKWY N",
            "address_2": "WALMART PHARMACY",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097788",
            "telephone_number": "252-338-2354",
            "fax_number": "252-338-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TANGLEWOOD PKWY N",
            "address_2": "WALMART PHARMACY",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097788",
            "telephone_number": "252-338-2354",
            "fax_number": "252-338-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCH",
        "first_name": "MARY",
        "middle_name": "MULLIS",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "07828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.