Marco Island Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29521 Issued in FL

Legal business name

MARCO ISLAND PHARMACY, INC.

Practice address

905 N Collier Blvd
Marco Island, FL 34145-2742

Phone

(239) 970-2490

Fax

(239) 970-2761

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Hiep Pham

Title

President, Owner

Phone

(239) 970-2490

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1528431616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N COLLIER BLVD",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452742",
            "telephone_number": "239-970-2490",
            "fax_number": "239-970-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N COLLIER BLVD",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452742",
            "telephone_number": "239-970-2490",
            "fax_number": "239-970-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO ISLAND PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HIEP",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "239-970-2490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENSE",
            "identifier": "PH29521",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Vanessa Magana
• Fikry Makar
• Mahsa Mansurabadi
• Marco Dental Care, PA
• Marco Island Mattress Company LLC
• Marco Medical Group Inc
• Ninette Doris Marin Migues
• Mary Marin
• Ruby Marquez
• Iris L Mayer

• Community/Retail Pharmacy in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.