MARSHALL PHARMACY LLC (NPI# 1629302062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629302062 |
| Entity Type | Organization |
| Organization Name | MARSHALL PHARMACY LLC |
| Other Organization Name | MARSHALL PHARMACY HEALTH MART |
| Practice Address |
701 W Main St Marshall WI 53559-8982 |
| Mailing Address |
N7103 Stoney Creek Rd Waterloo WI 53594-9415 |
| Practice Telephone | 6084384496 |
| Practice Fax Number | 6084384496 |
| Mailing Telephone | 6084384496 |
| Mailing Fax Number | 6084384496 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | MR. JOHN J. CALDWELL (OWNER/MEMBER) |
| Authorized Official Telephone | 6084384496 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 895342 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE LICENSE NUMBER | 895342 | 01 |
| Other Name | Type Code |
|---|---|
| Marshall Pharmacy Health Mart | Doing Business As Name - Organization |
| Street Address |
701 W MAIN ST |
| City | MARSHALL |
| State | WI |
| Zip Code | 53559-8982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659681260 | Marshall Pharmacy | Pharmacy | 701 W Main St, Marshall, WI 53559-8982 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649752247 | Tanya Kok | Dental Hygienist | 964 County Road T, Marshall, WI 53559 | 2018-08-30 |
| 1144358243 | Dane County Ems District No 14 | Ambulance | 119 Industrial Dr., Marshall, WI 53559-8715 | 2007-03-01 |
| 1790121671 | Tiffany Chanel Gray | Registered Nurse | 211 W Main St, Marshall, WI 53559-8964 | 2013-05-17 |
| 1053746826 | Akissi T Aka | Licensed Practical Nurse | 923 Lewellen St, Marshall, WI 53559-9004 | 2013-09-11 |
| 1699223800 | Laura Gillis | Counselor | 624 Water Tower Dr, Marshall, WI 53559-9042 | 2016-09-15 |
| 1740460765 | Jt School Dist 2 Village of Marshall Et Al | Local Education Agency (LEA) | 617 Madison St, Marshall, WI 53559-9273 | 2007-11-07 |
| 1164452884 | Sandra Carmen Canon | Chiropractor | 131 E Main St, Marshall, WI 53559-9377 | 2006-07-05 |
| 1124377510 | Christy Ann Elaine Bemis | Massage Therapist | 131 E Main St, Marshall, WI 53559-9377 | 2012-08-31 |
| 1982734265 | Litang Chiropractic Sc | Chiropractor | 131 E Main St, Marshall, WI 53559-9377 | 2007-03-06 |
| 1487820825 | Shunnett Jean Martin | Licensed Practical Nurse | 1110 Hubbell St, Marshall, WI 53559-9422 | 2008-05-06 |
| Find all providers in zip 53559 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059990 | Marshall City Pharmacy Inc | Pharmacy | 120 Redfield Plz, Marshall, MI 49068-1466 | 2018-10-15 |
| 1245367838 | Madison Pharmacy & Gifts Inc | Pharmacy | 4401 Us Hwy 25 70, Marshall, NC 28753 | 2007-02-28 |
| 1932247699 | Fifth Sanitary Food Store Inc | Pharmacy | 8382 West Main Street, Marshall, VA 20115 | 2007-02-02 |
| 1902979479 | Brookshire Grocery Company | Pharmacy | 207 E End Blvd N, Attention Pharmacy Dept, Marshall, TX 75670-3603 | 2006-11-15 |
| 1609947068 | Michael Baker Pharmacy, Inc. | Pharmacy | 101 W. Main St., Marshall, AR 72650 | 2006-11-10 |
| 1558455964 | Alan D Reed | Pharmacy | 813 N 2nd St, Marshall, IL 62441 | 2006-10-03 |
| 1184641649 | Freds Stores of Tennessee Inc | Pharmacy | 1002 Hwy 65 N, Marshall, AR 72650 | 2006-07-17 |
| 1568493567 | K Mart Corp | Pharmacy | 1001 N Highway 23 Byp, Marshall, MN 56258-2679 | 2006-07-06 |
| 1548248487 | Virginia Pharmacies Inc. | Pharmacy | 8382 W Main St, Marshall, VA 20115-3222 | 2005-12-31 |
| 1609326305 | Maysons Pharmacy Inc | Pharmacy | 4199 Winchester Rd, Marshall, VA 20115-3269 | 2016-10-06 |
| Find all providers in MARSHALL | ||||
Please comment or provide details below to improve the information on MARSHALL PHARMACY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.