Jason Marcrum, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

63424 Issued in TX

Practice address

3301 4TH St
Longview, TX 75605-7959

Phone

(903) 663-4362

NPI assigned

Aug 29, 2020

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Henderson, TX
  • NPI 1205033057
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1265447346
  NPD (past)
• Walgreen Co

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

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1831702745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 US HIGHWAY 79 S",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756544406",
            "telephone_number": "903-655-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057959",
            "telephone_number": "903-663-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCRUM",
        "first_name": "JASON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-29",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "63424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gary F Mapes, DDS
• Maples Chiropractic Group, PC
• Patricia Ann Maples, D.C.
• Thomas Jeffrey Maples, D.C.
• Samuel Mari
• Andrea Marjason
• Stephen Ray Marjason III, MSN
• Markay Hickerson, LCSW, PLLC
• Lindsey Michelle Markel, FNP-C

• All providers in Longview, TX
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.