Active NPI
Julie Marvin, RPH
- Pharmacist
- Trenton, MO
National Provider Identifier
1649768136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2002028995
- Practice address
- 1903 E 9TH St
Trenton, MO 64683-2645 - Phone
- (660) 359-5700
- Fax
- (660) 359-5701
- NPI assigned
- Apr 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-15673 | KS | |
| Pharmacist | 183500000X | 2002028995 | MO | Primary |
Addresses
Primary practice location
1903 E 9TH St
Trenton, MO 64683-2645
Mailing address
1903 E 9TH St
Trenton, MO 64683-2645
Phone (660) 707-3539
Other practice location 1
601 Locust St
Chillicothe, MO 64601-2250
Phone (660) 646-7455
Other practice location 2
21748 US Highway 65
Princeton, MO 64673-7865
Phone (660) 748-4048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002014007 | Other | MO | MISSOURI BOARD OF PHARMACY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-15673 | KS | MD | Pharmacist |
| 2002028995 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Medley Pharmacy Inc. | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Medley Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 4
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
- Princeton, MO
- NPI 1861134769
-
- Community/Retail Pharmacy
- Princeton, MO
- NPI 1871157644
-
- Community/Retail Pharmacy
- Cameron, MO
- NPI 1518984830
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1649768136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 E 9TH ST",
"city": "TRENTON",
"state": "MO",
"postal_code": "646832645",
"telephone_number": "660-707-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 E 9TH ST",
"city": "TRENTON",
"state": "MO",
"postal_code": "646832645",
"telephone_number": "660-359-5700",
"fax_number": "660-359-5701"
}
],
"practiceLocations": [
{
"address_1": "601 Locust St",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "MO",
"postal_code": "646012250",
"country_code": "US",
"telephone_number": "660-646-7455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21748 US Highway 65",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "MO",
"postal_code": "646737865",
"country_code": "US",
"telephone_number": "660-748-4048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARVIN",
"first_name": "JULIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15673",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2002028995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF PHARMACY",
"identifier": "2002014007",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.