Individual provider Active NPI

Kathleen Marshall, PHARM.D.

  • Pharmacist
  • Fort White, FL
National Provider Identifier
1497941165
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS36626 Issued in FL
Practice address
7729 SW US Hwy 27
Fort White, FL 32038
Phone
(386) 497-2580
Fax
(386) 497-4227
NPI assigned
Sep 17, 2007
Sex
Female
Sole proprietor
No

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.

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
PS36626FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Pharmacy of Fort White Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS36626 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

7729 SW US Hwy 27
Fort White, FL 32038

Mailing address

7729 SW US Hwy 27
Fort White, FL 32038
Phone (386) 497-2580

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2007.

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1497941165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7729 SW US HWY 27",
            "city": "FORT WHITE",
            "state": "FL",
            "postal_code": "32038",
            "telephone_number": "386-497-2580",
            "fax_number": "386-497-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7729 SW US HWY 27",
            "city": "FORT WHITE",
            "state": "FL",
            "postal_code": "32038",
            "telephone_number": "386-497-2580",
            "fax_number": "386-497-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS36626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort White, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.