Organization Active NPI

Community Pharmacy of Marion LLC.

Doing business as Marion Pharmacy

  • Community/Retail Pharmacy
  • Marion, NC
National Provider Identifier
1932212925
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01899 Issued in NC
Legal business name
COMMUNITY PHARMACY OF MARION LLC.
Doing business as
Marion Pharmacy
Practice address
232 S Main St
Marion, NC 28752-4551
Phone
(828) 652-4661
Fax
(828) 652-1085
NPI assigned
Aug 16, 2006
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Courtney Sayles
Title
CPHT
Phone
(828) 652-4661

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 01899 NC Primary

Addresses

Primary practice location

232 S Main St
Marion, NC 28752-4551

Mailing address

232 S Main St
Marion, NC 28752-4551
Phone (828) 652-4661

Other identifiers 1

IdentifierTypeStateIssuer
2066365OtherPK

Other names 1

  • Marion Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080923000698 NC Part B Supplier - Mass Immunization (Roster Biller Only) 4284701855 Practice locations: Marion, NC
O20240327002080 NC DME Supplier - Pharmacy 1951748813 Practice locations: Marion, NC
O20250516000313 NC Part B Supplier - Mass Immunization (Roster Biller Only) 1951748813 Practice locations: Marion, NC

National Provider Directory

National Provider Directory

Locations

232 S Main St
Marion, NC 28752
Phone (828) 652-4661

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1932212925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S MAIN ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524551",
            "telephone_number": "828-652-4661",
            "fax_number": "828-652-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S MAIN ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524551",
            "telephone_number": "828-652-4661",
            "fax_number": "828-652-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHARMACY OF MARION LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "SAYLES",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CPHT",
        "authorized_official_telephone_number": "828-652-4661"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "01899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066365",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.