Active NPI
Linda S Marcoux, RPH
- Pharmacist
- Dorchester, MA
National Provider Identifier
1821317702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16934
- Practice address
- 250 Mount Vernon St
Dorchester, MA 02125-3120 - Phone
- (617) 533-2295
- Fax
- (617) 533-2296
- NPI assigned
- May 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 16934 | MA | Primary |
Addresses
Primary practice location
250 Mount Vernon St
Dorchester, MA 02125-3120
Mailing address
250 Mount Vernon St
Dorchester, MA 02125-3120
Phone (617) 533-2295
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16934 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1821317702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MOUNT VERNON ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021253120",
"telephone_number": "617-533-2295",
"fax_number": "617-533-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MOUNT VERNON ST",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021253120",
"telephone_number": "617-533-2295",
"fax_number": "617-533-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCOUX",
"first_name": "LINDA",
"middle_name": "S",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "16934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.