Active NPI
Samuel Ian Marshall, PHARMD
- Pharmacist
- Panguitch, UT
National Provider Identifier
1528025475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 341398-1701
- Practice address
- 95 E Center St
Panguitch, UT 84759-7703 - Phone
- (435) 676-2212
- Fax
- (435) 676-8850
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 341398-1701 | UT | Primary |
Addresses
Primary practice location
95 E Center St
Panguitch, UT 84759-7703
Mailing address
639 Legacy Park Ave
Cedar City, UT 84720-1870
Phone (435) 586-8293
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 |
|---|---|---|---|
| 341398-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel I Marshall, P,C. | Current | Accepting new patients | |
| Township Pharmacy L L C | Past | Accepting new patients | |
| Panguitch Drug Corp | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Panguitch, UT
- NPI 1326487182
-
- Community/Retail Pharmacy
- Panguitch, UT
- NPI 1376524280
-
- Community/Retail Pharmacy
- Cedar City, UT
- NPI 1942211438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1528025475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 LEGACY PARK AVE",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847201870",
"telephone_number": "435-586-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 E CENTER ST",
"city": "PANGUITCH",
"state": "UT",
"postal_code": "847597703",
"telephone_number": "435-676-2212",
"fax_number": "435-676-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "SAMUEL",
"middle_name": "IAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "341398-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panguitch, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.