Active NPI
Marcella Elaine Fundum, RPH
- Pharmacist
- Lake Linden, MI
National Provider Identifier
1477544567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22181
- Practice address
- 220 Calumet St
Lake Linden, MI 49945-1310 - Phone
- (906) 296-6341
- Fax
- (906) 296-9341
- NPI assigned
- Oct 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22181 | MI | Primary |
Addresses
Primary practice location
220 Calumet St
Lake Linden, MI 49945-1310
Mailing address
201 Tamarack St
Laurium, MI 49913-2113
Phone (906) 337-2871
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 |
|---|---|---|---|
| 22181 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Keweenaw Enterprise | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Lake Linden, MI
- NPI 1750495727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477544567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 TAMARACK ST",
"city": "LAURIUM",
"state": "MI",
"postal_code": "499132113",
"telephone_number": "906-337-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 CALUMET ST",
"city": "LAKE LINDEN",
"state": "MI",
"postal_code": "499451310",
"telephone_number": "906-296-6341",
"fax_number": "906-296-9341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNDUM",
"first_name": "MARCELLA",
"middle_name": "ELAINE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "22181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Linden, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.