Thomas Paul Marcotte, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

BR0933641 Issued in IL

Practice address

400 N Wall St
Suite One
Kankakee, IL 60901-2940

Phone

(815) 935-4356

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891838314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 DARLINE DR",
            "city": "SAINT ANNE",
            "state": "IL",
            "postal_code": "609644381",
            "telephone_number": "815-937-5167",
            "fax_number": "815-935-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WALL ST",
            "address_2": "SUITE ONE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012940",
            "telephone_number": "815-935-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOTTE",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "BR0933641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita L Malinowski, MS RD CSR LDN
• Jasmine Mathew Maly, M.D.
• Thaddeus Manczko, M.D.
• Manor Care of Kankakee Il LLC (ManorCare Health Services-Kankakee)
• Vicky Lynn Mansberger, R.D.
• Andrew Tariao Mariano, DO
• Sara Joy Marion, PTA
• Gwen M Markham, CRNA
• Christine Marneris, M.A., CCC-A
• Andrea Marquez, BSN

• Pharmacist in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.