MARBLE CITY PHARMACY INC
NPI 1417954488
Pharmacist in Sylacauga, AL

Q: What is Marble City Pharmacy Inc's NPI number?

The NPI number for Marble City Pharmacy Inc is 1417954488. It was assigned to this organization in the NPPES registry on July 5, 2005.

Q: What is Marble City Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Active since July 05, 2005CLIA 01D2047138 · Waiver

264 W FORT WILLIAMS ST, SYLACAUGA, AL 35150(256) 245-4446(256) 245-4484 Get Directions Write a Review

NPPES record last updated: December 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marble City Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARBLE CITY PHARMACY INC (NPI 1417954488) is a healthcare organization registered as a pharmacist in Sylacauga, Alabama and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Jacob Miles Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1417954488

Entity TypeOrganization

Primary Taxonomy183500000X

Legal Business NameMARBLE CITY PHARMACY INC

Location Address264 W FORT WILLIAMS STSylacauga, AL 35150-2432

Mailing Address264 W Fort Williams StSylacauga, AL 35150-2432 · (256) 245-4446 · Fax (256) 245-4484

Phone(256) 245-4446

Fax(256) 245-4484

Organization SubpartNo

Authorized OfficialJacob Miles JohnsonOwner · (256) 245-4446

Enumeration DateJuly 5, 2005

Last NPPES UpdateDecember 29, 2010

✔ NPI 1417954488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in AL · 112273

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 112273 (AL)

264 W FORT WILLIAMS ST, Sylacauga, AL 35150

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Other Identifiers 4

Medicaid100003479AL

Other0131730AL · Nabp

Medicare ID-Type Unspecified4785980001

Medicaid009932695AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2047138

Marble City Pharmacy · Sylacauga, AL

Active · expires Sep 17, 2026

CLIA Number01D2047138

Laboratory TypePharmacy

Certificate Effective DateSeptember 18, 2024

Certificate Expiration DateSeptember 17, 2026

Laboratory DirectorJared K. Johnson

Laboratory Phone(256) 245-4446

Laboratory LocationMarble City Pharmacy264 W Fort Williams St, Sylacauga, AL 35150

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

94 services93 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

60 services60 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Marble City Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Marble City Pharmacy Inc

DMEPOS supplier · Sylacauga, AL

⋮

Does not accept Medicare assignment

Marble City Pharmacy Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20538461

Medicare Participant SinceSeptember 16, 2010

Supplier Location264 W Fort Williams StSylacauga, AL 35150

Phone(256) 245-4446

Supplier Specialties

Pharmacy

Medicare Product Categories

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB M. JOHNSON PHARM D.

Pharmacist

264 W FORT WILLIAMS ST
SYLACAUGA, AL 35150

Talladega County (256) 245-4446

MR. DANNY R JOHNSON R. PH.

Pharmacist

264 W FORT WILLIAMS ST
SYLACAUGA, AL 35150

Talladega County (256) 245-4446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marble City Pharmacy Inc's NPI number?

The NPI number for Marble City Pharmacy Inc is 1417954488. It was assigned to this organization in the NPPES registry on July 5, 2005.

Where is Marble City Pharmacy Inc located?

Marble City Pharmacy Inc is located at 264 W Fort Williams St, Sylacauga, AL 35150. The listed phone number is (256) 245-4446.

What is Marble City Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does Marble City Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Marble City Pharmacy Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Marble City Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2047138) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marble City Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Marble City Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marble City Pharmacy Inc was last updated on December 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.