Active NPI
Richard Gerald Marrs, R.PH.
- Pharmacist
- Champaign, IL
National Provider Identifier
1952525149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 1802 S Mattis Ave
Champaign, IL 61821-5923 - Phone
- (217) 326-1399
- Fax
- (217) 326-1405
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Primary |
Addresses
Primary practice location
1802 S Mattis Ave
Champaign, IL 61821-5923
Mailing address
4802 Chestnut Grove Dr
Champaign, IL 61822-3318
Phone (217) 351-9755
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.028815 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952525149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 CHESTNUT GROVE DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618223318",
"telephone_number": "217-351-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 S MATTIS AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618215923",
"telephone_number": "217-326-1399",
"fax_number": "217-326-1405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRS",
"first_name": "RICHARD",
"middle_name": "GERALD",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- 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.