Wayne H Marmon, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302040996 Issued in MI

Practice address

1 Minni Tohe Dr
New Town, ND 58763-4400

Phone

(701) 627-4701

NPI assigned

Apr 30, 2008

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1861668840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8548 47TH ST NW # MW",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587639106",
            "telephone_number": "701-629-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MINNI TOHE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587634400",
            "telephone_number": "701-627-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMON",
        "first_name": "WAYNE",
        "middle_name": "H",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "4856",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelcey Rae Lee, DNP, FNP-C
• Nicole Mura Lichter, APRN-CNP, PMHNP-BC
• Allison Lovcik, RDH
• Douglas Mai
• Shasta Mandan, R.N., C.D.E.
• Anita Louise Martin, M.D.
• Roselle Martin, B.S, L.N
• Monica Mayer, M.D.
• Frances McDonald, RN
• Yolanda Sue McDonald

• Pharmacist in New Town, ND
• Providers in New Town, ND by specialty
• Pharmacist in North Dakota

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