Active NPI
Marina Gale Odom, PHARMD
- Pharmacist
- Rockingham, NC
National Provider Identifier
1649791724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24567
- Practice address
- 720 E Hwy 74 Bus
Rockingham, NC 28379 - Phone
- (910) 582-3565
- Fax
- (910) 582-3574
- NPI assigned
- Jun 29, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24567 | NC | Primary |
Addresses
Primary practice location
720 E Hwy 74 Bus
Rockingham, NC 28379
Mailing address
515 Prosperity LN
Pinebluff, NC 28373-4401
Phone (443) 859-5483
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 |
|---|---|---|---|
| 24567 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | 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.
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- Apollo Beach, FL
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1649791724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 PROSPERITY LN",
"city": "PINEBLUFF",
"state": "NC",
"postal_code": "283734401",
"telephone_number": "443-859-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E HWY 74 BUS",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "28379",
"telephone_number": "910-582-3565",
"fax_number": "910-582-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "MARINA",
"middle_name": "GALE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2025-01-24",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockingham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.