Active NPI
Richard Marrott, PHARMD
- Pharmacist
- Idaho Falls, ID
National Provider Identifier
1518508159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5576
- Practice address
- 3100 Channing Way
Idaho Falls, ID 83404-7533 - Phone
- (208) 535-4797
- NPI assigned
- Oct 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P5576 | ID | Primary |
Addresses
Primary practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Mailing address
3944 Laura Cir
Ammon, ID 83406-4743
Phone (208) 716-5896
Other practice location 1
139 E Main St
Rigby, ID 83442-1417
Phone (208) 745-6831
Other practice location 2
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700
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 |
|---|---|---|---|
| P5576 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho RX Inc | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1518508159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3944 LAURA CIR",
"city": "AMMON",
"state": "ID",
"postal_code": "834064743",
"telephone_number": "208-716-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CHANNING WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047533",
"telephone_number": "208-535-4797"
}
],
"practiceLocations": [
{
"address_1": "139 E Main St",
"address_purpose": "LOCATION",
"city": "Rigby",
"state": "ID",
"postal_code": "834421417",
"country_code": "US",
"telephone_number": "208-745-6831",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2325 Coronado St",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834047407",
"country_code": "US",
"telephone_number": "208-557-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARROTT",
"first_name": "RICHARD",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.