Marissa Lynn Palmer, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

051291318 Issued in IL

Practice address

805 W Fayette Ave
Effingham, IL 62401-2415

Phone

(217) 342-9393

Fax

(217) 347-9409

NPI assigned

Nov 24, 2020

Sex

Female

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

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.

• G M Andes LTD

  • Community/Retail Pharmacy
  • Effingham, IL
  • NPI 1740230481
  NPD (past)
• G M Andes LTD

  • Long Term Care Pharmacy
  • Effingham, IL
  • NPI 1932609278
  NPD (past)

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1851995369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W FAYETTE AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012415",
            "telephone_number": "217-342-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W FAYETTE AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012415",
            "telephone_number": "217-342-9393",
            "fax_number": "217-347-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MARISSA",
        "middle_name": "LYNN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051291318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimum Health Care Inc.
• Shelby Renea Overbeck, RN
• Oversight Physician Technologies, PC
• Dean A Page, M.D.
• Jessie Palmer, PTA
• Pals Family Chiropractic
• Justin J Pals, D.C.
• Penny L Pals, D.C.
• Cristina Parsons
• Leah Passalacqua, PT

• All providers in Effingham, IL
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.