Individual provider Active NPI

Vincent Matthew Marinco, PHARMD

  • Pharmacist
  • Hazel Park, MI
National Provider Identifier
1609706910
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302039600 Issued in MI
Practice address
21936 Vassar Ave
Hazel Park, MI 48030-1828
Phone
(248) 546-0494
Fax
(248) 546-0494
NPI assigned
May 20, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302039600 MI Primary

Addresses

Primary practice location

21936 Vassar Ave
Hazel Park, MI 48030-1828

Mailing address

21936 Vassar Ave
Hazel Park, MI 48030-1828
Phone (248) 546-0494

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
5302039600MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marinco Pharmacy 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": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1609706910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21936 VASSAR AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301828",
            "telephone_number": "248-546-0494",
            "fax_number": "248-546-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21936 VASSAR AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301828",
            "telephone_number": "248-546-0494",
            "fax_number": "248-546-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINCO",
        "first_name": "VINCENT",
        "middle_name": "MATTHEW",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302039600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.