Marissa Food Mart
NPI 1003980111ActiveOrganization· Pharmacy· Marissa, IL
Pharmacy in Marissa, Illinois, registered in NPPES in November 2006, part of Marissa Food Mart Inc. The authorized official on file is Gail Laskowski, Secretary Of Corp.
Overview
| NPI | 1003980111 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Marissa Food Mart Inc. |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Apr 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 054.009766 | IL |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|