NPIMap

Organization Active NPI

Marclo Enterprises, Inc

  • Pharmacist
  • Jena, LA
National Provider Identifier
1679527477
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0139-IR Issued in LA
Legal business name
MARCLO ENTERPRISES, INC
Practice address
1825 East Oak St
Jena, LA 71342-0940
Phone
(318) 992-5088
Fax
(318) 992-6446
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Mr. Martin E Cloessner Jr., PDNPI 1306929898
Title
Owner
Phone
(318) 992-5088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 0139-IR LA Primary

Addresses

Primary practice location

1825 East Oak St
Jena, LA 71342-0940

Mailing address

PO Box 940
Jena, LA 71342-0940
Phone (318) 992-5088

Other identifiers 1

IdentifierTypeStateIssuer
1207594MedicaidLA

Other names 1

  • CASH DRUGS Other name

National Provider Directory

National Provider Directory

Locations

1825 E Oak St
Jena, LA 71342
Phone (318) 992-4912

1825 E Oak St
Ste A
Jena, LA 71342
Phone (318) 992-5088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1679527477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713420940",
            "telephone_number": "318-992-5088",
            "fax_number": "318-992-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 EAST OAK ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713420940",
            "telephone_number": "318-992-5088",
            "fax_number": "318-992-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCLO ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "CLOESSNER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-992-5088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "0139-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1207594",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASH DRUGS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jena, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.