Marlise Maria Coulon, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

34600 Issued in TX

Practice address

833 N Saginaw Blvd
Saginaw, TX 76179-1234

Phone

(817) 306-7147

Fax

(817) 763-9643

NPI assigned

Jun 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Saginaw, TX
  • NPI 1760497820
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Fort Worth, TX
  • NPI 1780699876
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1770894875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073836",
            "telephone_number": "817-735-8185",
            "fax_number": "817-735-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N SAGINAW BLVD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791234",
            "telephone_number": "817-306-7147",
            "fax_number": "817-763-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULON",
        "first_name": "MARLISE",
        "middle_name": "MARIA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "34600",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "14353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic & Rehab Centers, Inc
• City Specialty Pharmacy LLC
• Shelby Claridge-Davenport, RN
• Kelly Clipper, DPT
• Keith Cole, COTA/L
• Ariel Nicolette Couvillion, RN, BSN
• Hunter W Crawford, DC
• Creekside Chiropractic
• Matthew Cross, DDS
• Crosspoint Mental Health Therapy

• Pharmacist in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.