Marshall's Drug Store Incorporated

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201000441 Issued in VA

Legal business name

MARSHALL'S DRUG STORE INCORPORATED

Practice address

50 Cross St
Urbanna, VA 23175-0310

Phone

(804) 758-5344

Fax

(804) 758-3366

NPI assigned

Oct 7, 2005

Last updated

Mar 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Marshall Edwards, RPHNPI 1891782785

Title

President/Pharmacist

Phone

(804) 758-5344

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca M Edwards, RPH

  • Pharmacist
  • Urbanna, VA
  • NPI 1891782785
  NPD Authorized official

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1467440149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "231750310",
            "telephone_number": "804-758-5344",
            "fax_number": "804-758-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CROSS ST",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "231750310",
            "telephone_number": "804-758-5344",
            "fax_number": "804-758-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL'S DRUG STORE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "804-758-5344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201000441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085-00444",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4810025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James R. Robusto (Urbanna Family Practice,PLC)
• Debbie Mitchell Lancucki, QMHP
• Lotus Renewal and Wellness Center, Inc
• Alice Donahoe Luck, PT
• Elizabeth Ann Lyon
• Lisa Jane McCann, OTR
• Middle Peninsula Northern Neck Community Services Board
• Middle Peninsula Northern Neck CSB
• Middle Peninsula-Northern Neck Mental Health and Mental Retardation (Rural Infant Services Program)
• Jean Smith Miller, RPT

• Pharmacy in Urbanna, VA
• Providers in Urbanna, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.