Organization Active NPI

Marco Pharmacy and Optical Inc

Doing business as Marco Pharmacy and Optical

  • Community/Retail Pharmacy
  • Mount Vernon, IL
National Provider Identifier
1649374695
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARCO PHARMACY AND OPTICAL INC
Doing business as
Marco Pharmacy and Optical
Practice address
4121 S Water Tower PL
Mount Vernon, IL 62864-6293
Phone
(618) 242-5777
Fax
(618) 242-3150
NPI assigned
Sep 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
James Thomas, RPH
Title
Owner
Phone
(618) 242-5777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X IL
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

4121 S Water Tower PL
Mount Vernon, IL 62864-6293

Mailing address

4121 S Water Tower PL
Mount Vernon, IL 62864-6293

Other identifiers 1

IdentifierTypeStateIssuer
1445875OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MARCO PHARMACY AND OPTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

4121 S Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 242-5777

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649374695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 S WATER TOWER PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 S WATER TOWER PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646293",
            "telephone_number": "618-242-5777",
            "fax_number": "618-242-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO PHARMACY AND OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-242-5777",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1445875",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARCO PHARMACY AND OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.