Mardix Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00001264 Issued in WA

Legal business name

MARDIX PHARMACY INC

Practice address

13308 SE 240TH St
Kent, WA 98042-5106

Phone

(253) 630-3833

Fax

(253) 630-0114

NPI assigned

Dec 8, 2006

Last updated

Sep 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Al Lockwood, RPH

Title

President

Phone

(253) 630-3833

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1922168327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13308 SE 240TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13308 SE 240TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425106",
            "telephone_number": "253-630-3833",
            "fax_number": "253-630-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARDIX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-630-3833",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00001264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6048003",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4913643",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wenlan Mao
• Agnes Andal Maramba, NURSE PRACTITIONER
• Oleksandr A Marchenko, LMP
• Margarita Marchuk
• Gary M. Marcus, PHD
• Briana Elyse Marin, PT, DPT
• Anthony Michael Marmet
• Mars Hill Health Inc (LifeQuest Chiropractic)
• Carl Byron Marshall, MEDICAL ASSISTANT
• Jennifer Marshall, L.M.P.

• Community/Retail Pharmacy in Kent, WA
• Providers in Kent, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.