Marion Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MARION PHARMACY INC

Practice address

103 East Main
Marion, MI 49665

Phone

(231) 743-2441

Fax

(231) 743-2973

NPI assigned

Sep 6, 2006

Reactivated

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Thomas L Anderson, RPH

Title

Owner

Phone

(231) 743-2441

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MARION PHARMACY Doing business as

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1699878652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX J",
            "address_2": "103 EAST MAIN",
            "city": "MARION",
            "state": "MI",
            "postal_code": "49665",
            "telephone_number": "231-743-2441",
            "fax_number": "231-743-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 EAST MAIN",
            "city": "MARION",
            "state": "MI",
            "postal_code": "49665",
            "telephone_number": "231-743-2441",
            "fax_number": "231-743-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-05-06",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-743-2441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2336281",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tricia Ann McGillis, PA
• Matthew Schut
• Carrie Marie Thompson, MSW, LBSW
• Megan Marie Vandepol, MA CCC-SLP

• All providers in Marion, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.