Individual provider Active NPI

Marion L Oliver, PHARMACIST

  • Pharmacist
  • Melbourne, FL
National Provider Identifier
1447465315
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0014804 Issued in FL
Practice address
4235 Turtle Mound Rd
Melbourne, FL 32934-8506
Phone
(321) 253-4031
Fax
(321) 253-4031
NPI assigned
May 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0014804 FL Primary
Pharmacist 183500000X PHA2335 DC
Pharmacist 183500000X PU0005107 FL

Addresses

Primary practice location

4235 Turtle Mound Rd
Melbourne, FL 32934-8506

Mailing address

4235 Turtle Mound Rd
Melbourne, FL 32934-8506
Phone (321) 253-4031

Other identifiers 1

IdentifierTypeStateIssuer
PS0014804OtherFLPHARMACY

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
PHA2335DCMDPharmacist
PS0014804FLMDPharmacist
PU0005107FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447465315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 TURTLE MOUND RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348506",
            "telephone_number": "321-253-4031",
            "fax_number": "321-253-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 TURTLE MOUND RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348506",
            "telephone_number": "321-253-4031",
            "fax_number": "321-253-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "MARION",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0014804",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PHA2335",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU0005107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "PS0014804",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.