Healthcare Provider Details

I. General information

NPI: 1700974482
Provider Name (Legal Business Name): MARCUS FERRONE PHARMD, BCNSP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF CALIFORNIA SAN FRANCISCO BOX 0622, C-152
SAN FRANCISCO CA
94143-0001
US

IV. Provider business mailing address

7 EXCELSIOR LN APARTMENT #10
SAUSALITO CA
94965-2152
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-8151
  • Fax:
Mailing address:
  • Phone: 415-686-9811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number55191
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number55191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: