Individual provider Active NPI

Marvin Wallace Buckland VII, PHARMD

  • Pharmacist
  • Rochester, MN
National Provider Identifier
1487423976
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
126252 Issued in MN
Practice address
1216 2ND St SW
Rochester, MN 55902-1906
Phone
(507) 255-5731
NPI assigned
Dec 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 126252 MN Primary

Addresses

Primary practice location

1216 2ND St SW
Rochester, MN 55902-1906

Mailing address

1216 2ND St SW Ste M600B
Rochester, MN 55902-1906

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
126252MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Foundation for Medical Education & Research PastSince Dec 31, 2023 Accepting new patients
Mayo Foundation for Medical Education & Research PastSince Dec 31, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1487423976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 2ND ST SW STE M600B",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 2ND ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021906",
            "telephone_number": "507-255-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLAND",
        "first_name": "MARVIN",
        "middle_name": "WALLACE",
        "name_prefix": "Mr.",
        "name_suffix": "VII",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "126252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.