Marshall Medic Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

19172 Issued in AR

Legal business name

MARSHALL MEDIC PHARMACY, INC.

Practice address

243 Hwy 65 North
Marshall, AR 72650

Phone

(870) 448-3614

Fax

(870) 448-5143

NPI assigned

Feb 14, 2007

Last updated

Aug 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeanie Horton, PHARM.D.NPI 1861200248

Title

Pharmacist in Charge

Phone

(870) 448-3614

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Jeanie Horton

  • Pharmacist
  • Marshall, AR
  • NPI 1861200248
  NPD Authorized official
• Kelsey Whitelaw, PHARMD

  • Pharmacist
  • Marshall, AR
  • NPI 1063267391
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1992848493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "726500427",
            "telephone_number": "870-448-3614",
            "fax_number": "870-448-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 HWY 65 NORTH",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "72650",
            "telephone_number": "870-448-3614",
            "fax_number": "870-448-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDIC PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "JEANIE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "870-448-3614",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "19172",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "AR-19172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100577407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Langer I, MSN, RN, NP-C
• Jovann Leek, RN
• Lea Ann T Lowrance, RPH
• Marshall Family Eyecare
• Marshall Family Eyecare PLLC
• Dianne Martaus, LCSW
• Larry Ray Martens, LAC
• Hazel Jean Massey
• Rebecca M Massey, OTA
• Andrea Lea McCallister, OTR/L

• Community/Retail Pharmacy in Marshall, AR
• Providers in Marshall, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.