MARATHON DPC LLC NPI 1013479716

NPI Information

  • NPI: 1013479716
  • Provider Name: MARATHON DPC, LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • :
  • CLIA Number: 26D2164404
  • Address: 1403 HAMPTON AVENUE
    ST. LOUIS, MO
    ZIP 63139
  • Phone: (314) 955-9355

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NPI Details

MARATHON DPC, LLC is a pharmacy in St. Louis, MO. The provider is 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. MARATHON DPC, LLC NPI is 1013479716. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1403 HAMPTON AVENUE
ST. LOUIS, MO
ZIP 63139
Phone: (314) 955-9355

The provider's authorized official is Charles Van Every .
The authorized official title is Manager Central Support and has the following contact phone number (408) 406-9645.

The CLIA number assigned to this NPI record is 26D2164404 - other - employee health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2019 and was last updated on 5/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
2333600000XPharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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