Active NPI
Marlena Ann Austin, PHARM D
- Pharmacist
- Idaho Falls, ID
National Provider Identifier
1992103592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P7193
- Practice address
- 1850 W Broadway St
Idaho Falls, ID 83402-3044 - Phone
- (208) 522-4655
- Fax
- (208) 522-6670
- NPI assigned
- Dec 12, 2014
- Sex
- Female
- 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 | P7193 | ID | Primary |
Addresses
Primary practice location
1850 W Broadway St
Idaho Falls, ID 83402-3044
Mailing address
1850 W Broadway St
Idaho Falls, ID 83402-3044
Phone (208) 522-4655
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 |
|---|---|---|---|
| P7193 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1992103592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 W BROADWAY ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023044",
"telephone_number": "208-522-4655",
"fax_number": "208-522-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 W BROADWAY ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023044",
"telephone_number": "208-522-4655",
"fax_number": "208-522-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "MARLENA",
"middle_name": "ANN",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-12",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P7193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.