Active NPI
Jacob Douglas Dorie, PHARMD
- Pharmacist
- Marquette, MI
National Provider Identifier
1609499789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302411464
- Practice address
- 1115 W Washington St
Marquette, MI 49855-4001 - Phone
- (906) 226-1046
- Fax
- (906) 226-1443
- NPI assigned
- May 22, 2020
- Last updated
- May 22, 2020
- 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 | 5302411464 | MI | Primary |
Addresses
Primary practice location
1115 W Washington St
Marquette, MI 49855-4001
Mailing address
1115 W Washington St
Marquette, MI 49855-4001
Phone (906) 226-1046
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 |
|---|---|---|---|
| 5302411464 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1115 W Washington St
Marquette, MI 49855
Phone (906) 226-1046
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1609499789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 W WASHINGTON ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554001",
"telephone_number": "906-226-1046",
"fax_number": "906-226-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 W WASHINGTON ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554001",
"telephone_number": "906-226-1046",
"fax_number": "906-226-1443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORIE",
"first_name": "JACOB",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302411464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.