OrganizationActive
Marissa Food Mart
NPI 1003980111 · Pharmacy · Marissa, IL
Marissa Food Mart is a Pharmacy organization in Marissa, IL (NPI 1003980111).
Provider details
- NPI number
- 1003980111
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Marissa Food Mart Inc.
- Organization subpart
- Yes
- Authorized official
- Gail Laskowski, Secretary of Corp.(618) 295-2317
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 E. Lyons St.
Marissa, IL 62257
Phone: (618) 295-2317
Fax: (618) 295-2318
Street-level locationGet directions
Mailing address
700 E. Lyons St.
Marissa, IL 62257
Other names (DBA / former)
- Doing business as
- Dba Marissa Discount Pharmacy
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2015-04-15
Frequently asked questions
- What is Marissa Food Mart's NPI number?
- Marissa Food Mart's National Provider Identifier (NPI) is 1003980111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marissa Food Mart?
- Marissa Food Mart is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Marissa Food Mart located?
- Marissa Food Mart's practice location on file with NPPES is 700 E. Lyons St., Marissa, IL 62257.
- What is Marissa Food Mart's phone number?
- The practice phone number listed in the NPPES registry for Marissa Food Mart is (618) 295-2317.
- Who is the authorized official for Marissa Food Mart?
- The authorized official listed on Marissa Food Mart's NPPES record is Gail Laskowski, Secretary of Corp.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marissa Food Mart's NPI active?
- Yes — Marissa Food Mart's NPI (1003980111) is active in the NPPES registry as of the last update on 2015-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.