Richard A Marasco, PHARM., FASCP, CGP

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

RPH015613 Issued in GA

Practice address

3982 Kinderlou Forest
Valdosta, GA 31601

Phone

(229) 977-0275

Fax

(610) 822-7340

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lee & Pickels Consulting, LLC

  • Family Medicine Physician
  • Quitman, GA
  • NPI 1205411774
  NPD Authorized official

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801887419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3982 KINDERLOU FOREST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31601",
            "telephone_number": "229-977-0275",
            "fax_number": "610-822-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3982 KINDERLOU FOREST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31601",
            "telephone_number": "229-977-0275",
            "fax_number": "610-822-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASCO",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "PHARM., FASCP, CGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "GA",
            "license": "RPH015613",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "PS34481",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "PU5191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amrendra Kumar Mandal
• Tashari Shameka Manning
• Mafaz Mansoor, MD
• Alexis Marable
• Stanley Bernard Marable, D.D.S.
• Maegan Marcinowski, RBT
• Maria C Castellano, MD, LLC
• Mark a. Retterbush
• Mark a. Roland, DMD PC
• Mark Webb LMFT PC

• Pharmacotherapy Pharmacist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Pharmacotherapy Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.