Active NPI
Marla Middleton Ekola, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Owosso, MI
National Provider Identifier
1487653119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 5302042035
- Practice address
- 826 W King St
Owosso, MI 48867-2120 - Phone
- (989) 729-4588
- NPI assigned
- Jul 15, 2005
- Last updated
- Mar 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 19992 | GA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302042035 | MI | Primary |
Addresses
Primary practice location
826 W King St
Owosso, MI 48867-2120
Mailing address
4169 Indian Glen Dr
Okemos, MI 48864-3848
Phone (517) 580-2836
Other practice location 1
cmr 402
pharmacy department
Apo, AE 09180
Phone 011496371867570
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302042035 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 19992 | GA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1487653119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4169 INDIAN GLEN DR",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643848",
"telephone_number": "517-580-2836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 W KING ST",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672120",
"telephone_number": "989-729-4588"
}
],
"practiceLocations": [
{
"address_1": "cmr 402",
"address_2": "pharmacy department",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "09180",
"country_code": "US",
"telephone_number": "011496371867570",
"fax_number": "011496371868267",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "EKOLA",
"first_name": "MARLA",
"middle_name": "MIDDLETON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "GA",
"license": "19992",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MI",
"license": "5302042035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.