Active NPI
Marisa Maroney, PHARMD
- Pharmacist
- Rockford, IL
National Provider Identifier
1992085542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.294322
- Practice address
- 301 E State St Ste P
Rockford, IL 61104-1012 - Phone
- (815) 516-8076
- NPI assigned
- Aug 26, 2011
- 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 | 051.294322 | IL | Primary |
Addresses
Primary practice location
301 E State St Ste P
Rockford, IL 61104-1012
Mailing address
251 Bienterra TRL Apt 4
Rockford, IL 61107-5878
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.294322 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1992085542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 BIENTERRA TRL APT 4",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E STATE ST STE P",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611041012",
"telephone_number": "815-516-8076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARONEY",
"first_name": "MARISA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-26",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.294322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.