Organization Active NPI

Marklin Enterprises LLC

  • Community/Retail Pharmacy
  • Canal Fulton, OH
National Provider Identifier
1497860431
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP021885150 Issued in OH
Legal business name
MARKLIN ENTERPRISES LLC
Practice address
977 E Cherry
Canal Fulton, OH 44614-0272
Phone
(330) 854-4949
Fax
(330) 854-1919
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Karli FahrniNPI 1851672885
Title
Owner
Phone
(330) 854-4949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RTP021885150 OH Primary

Addresses

Primary practice location

977 E Cherry
Canal Fulton, OH 44614-0272

Mailing address

P.O. Box 272
Canal Fulton, OH 44614-0272
Phone (330) 854-4949

Other identifiers 2

IdentifierTypeStateIssuer
0352363MedicaidOH
2075474OtherPK

Other names 1

  • Heritage Square Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161116001073 OH Part B Supplier - Mass Immunization (Roster Biller Only) 5395023766 Practice locations: Canal Fulton, OH

National Provider Directory

National Provider Directory
Tax ID family
Heritage Square Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

977 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4949

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1497860431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 272",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446140272",
            "telephone_number": "330-854-4949",
            "fax_number": "330-854-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 E CHERRY",
            "city": "CANAL FULTON",
            "state": "OH",
            "postal_code": "446140272",
            "telephone_number": "330-854-4949",
            "fax_number": "330-854-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKLIN ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "FAHRNI",
        "authorized_official_first_name": "KARLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-854-4949"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP021885150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352363",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Square Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canal Fulton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.