Individual provider Active NPI

Marius Johannes Fourie, RPH

  • Pharmacist
  • Lexington, KY
National Provider Identifier
1861622144
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
013580 Issued in KY
Practice address
252 Somersly PL
Lexington, KY 40515-5718
Phone
(859) 523-7427
Fax
(859) 523-7427
NPI assigned
Jul 21, 2009
Last updated
Jul 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 013580 KY Primary

Addresses

Primary practice location

252 Somersly PL
Lexington, KY 40515-5718

Mailing address

252 Somersly PL
Lexington, KY 40515
Phone (859) 523-7427

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

LicenseStateTypeSpecialty
013580KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1861622144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 SOMERSLY PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40515",
            "telephone_number": "859-523-7427",
            "fax_number": "859-523-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 SOMERSLY PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155718",
            "telephone_number": "859-523-7427",
            "fax_number": "859-523-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURIE",
        "first_name": "MARIUS",
        "middle_name": "JOHANNES",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "013580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.