Marble City Pharmacy Inc
NPI 1417954488ActiveOrganization· Pharmacist· Sylacauga, AL
Pharmacist in Sylacauga, Alabama, registered in NPPES in July 2005. The authorized official on file is Jacob Miles Johnson, PHARMD, Owner. Medicare paid $17,798 for services to 111 patients in 2024.
Overview
| NPI | 1417954488 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2005 |
| Last updated in NPPES | Dec 29, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 112273 | AL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 112273 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (AL); Part B Supplier - Pharmacy (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 111 |
|---|---|
| Services billed | 284 across 9 procedure codes |
| Paid by Medicare | $17,798 |
Other Pharmacist providers in Sylacauga
- 1376635516
- 1770940132
- 1649835190
- 1154933406
- 1053941567
- 1083078059
- 1861657983
- 1700238425
- 1295016137
- 1619853462
- 1487259321
- 1033714977