Active NPI
Marklin Enterprises LLC
- Community/Retail Pharmacy
- Canal Fulton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RTP021885150
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karli Fahrni
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0352363 | Medicaid | OH | |
| 2075474 | Other | PK |
Other names 1
- Heritage Square Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Canal Fulton, OH
- NPI 1003511080
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.
-
- Pharmacist
- Canal Fulton, OH
- NPI 1851672885
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.