Active NPI
Marla Jeanne Trepanier, RPH.
- Pharmacist
- Bisbee, AZ
National Provider Identifier
1982929451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S010726
- Practice address
- 101 Naco Rd
Bisbee, AZ 85603-9655 - Phone
- (520) 432-2274
- NPI assigned
- Mar 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 | S010726 | AZ | Primary |
Addresses
Primary practice location
101 Naco Rd
Bisbee, AZ 85603-9655
Mailing address
1428 N Pomerene Rd
Benson, AZ 85602-7908
Phone (520) 349-8058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S010726 | Other | AZ | AZ PHARMACY LICENSE |
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 |
|---|---|---|---|
| S010726 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
-
- Community/Retail Pharmacy
- Bisbee, AZ
- NPI 1821024605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1982929451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 N POMERENE RD",
"city": "BENSON",
"state": "AZ",
"postal_code": "856027908",
"telephone_number": "520-349-8058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NACO RD",
"city": "BISBEE",
"state": "AZ",
"postal_code": "856039655",
"telephone_number": "520-432-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREPANIER",
"first_name": "MARLA",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S010726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ PHARMACY LICENSE",
"identifier": "S010726",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bisbee, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.