Active NPI
Marisa Gardin, PHARMD
- Pharmacist
- Wynnewood, PA
National Provider Identifier
1760782262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP440411
- Practice address
- 50 E Wynnewood Rd
Wynnewood, PA 19096-2013 - Phone
- (610) 602-8015
- Fax
- (610) 602-8002
- NPI assigned
- Oct 30, 2010
- 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 | RP440411 | PA | Primary |
Addresses
Primary practice location
50 E Wynnewood Rd
Wynnewood, PA 19096-2013
Mailing address
1214 Windmill Cir
Norristown, PA 19403-5154
Phone (484) 557-5293
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 |
|---|---|---|---|
| RP440411 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1760782262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 WINDMILL CIR",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194035154",
"telephone_number": "484-557-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E WYNNEWOOD RD",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962013",
"telephone_number": "610-602-8015",
"fax_number": "610-602-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDIN",
"first_name": "MARISA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-30",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP440411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.