Marco Renell Middleton Sr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD15022 Issued in AR

Practice address

333 Madison St
Clarendon, AR 72029-2717

Phone

(870) 747-3304

NPI assigned

Mar 30, 2021

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brinkley Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Brinkley, AR
  • NPI 1386293041
  NPD Authorized official
• Delta Clinical Services LLC

  • Family Medicine Physician
  • Brinkley, AR
  • NPI 1245968718
  NPD Authorized official
• Polk Pharmacy Management, LLC

  dba Long Term Care Middleton Rx

  • Long Term Care Pharmacy
  • Clarendon, AR
  • NPI 1225888183
  Authorized official Same address or phone

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1770161911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 CARLA DR",
            "city": "CLARENDON",
            "state": "AR",
            "postal_code": "720292503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MADISON ST",
            "city": "CLARENDON",
            "state": "AR",
            "postal_code": "720292717",
            "telephone_number": "870-747-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "MARCO",
        "middle_name": "RENELL",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD15022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Delta Health Systems Inc
• Mid-Delta Health Systems Inc (Mid-Delta Health Systems - Mobile Clinic)
• Mid-Delta Health Systems, Inc
• Mid-Delta Health Systems, Inc. (Lion Clinic)
• Mid-Delta Health Systems, Inc. (Mid-Delta Health Systems - North)
• Arpit R Patel, M.D.
• Thomas P Patten, DDS
• Summer N Patton, RDN, LDN
• Polk Pharmacy Management
• Polk Pharmacy Management, LLC (Long Term Care Middleton Rx)

• Pharmacist in Clarendon, AR
• Providers in Clarendon, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.