Organization Active NPI

Marshall City Pharmacy Inc

  • Pharmacy
  • Marshall, MI
National Provider Identifier
1770059990
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MARSHALL CITY PHARMACY INC
Doing business as
Marshall City Pharmacy
Practice address
120 Redfield PLZ
Marshall, MI 49068-1466
Phone
(260) 402-3341
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Blaise Odinaka Ndukwe, PHARM D, R.PH.
Title
Pic
Phone
(313) 622-6279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

120 Redfield PLZ
Marshall, MI 49068-1466

Mailing address

120 Redfield PLZ
Marshall, MI 49068-1466
Phone (260) 402-3341

Other names 1

  • Marshall City Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

120 Redfield Plz
Marshall, MI 49068
Phone (260) 402-3341

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1770059990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 REDFIELD PLZ",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681466",
            "telephone_number": "260-402-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 REDFIELD PLZ",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681466",
            "telephone_number": "260-402-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "NDUKWE",
        "authorized_official_first_name": "BLAISE",
        "authorized_official_middle_name": "ODINAKA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "313-622-6279",
        "authorized_official_credential": "PHARM D, R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.