Individual provider Active NPI

Julie Marvin, RPH

  • Pharmacist
  • Trenton, MO
National Provider Identifier
1649768136
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2002028995 Issued in MO
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

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2002014007OtherMOMISSOURI 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

LicenseStateTypeSpecialty
1-15673KSMDPharmacist
2002028995MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP PastSince Nov 1, 2020 Accepting new patients
Medley Pharmacy Inc. PastSince Feb 16, 2020 Accepting new patients
Wal-Mart Stores East, LP PastSince Nov 1, 2020 Accepting new patients
Medley Pharmacy Inc PastSince Apr 1, 2022 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.

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.

Verify at the official NPI Registry.