Mark Salce Carrillo, RPH, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

54189 Issued in TX

Practice address

1409 Highway 35 N
Rockport, TX 78382-3314

Phone

(361) 729-0530

NPI assigned

Jan 15, 2016

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H-E-B, LP

  • Community/Retail Pharmacy
  • Rockport, TX
  • NPI 1538278957
  NPD (past)
• H-E-B, LP

  • Community/Retail Pharmacy
  • Georgetown, TX
  • NPI 1770393217
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 15, 2016.

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1013374453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 HIGHWAY 35 N",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823314",
            "telephone_number": "361-729-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 HIGHWAY 35 N",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823314",
            "telephone_number": "361-729-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "MARK",
        "middle_name": "SALCE",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "54189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C3Erow, LLC
• Lorraine Michele Cameron, ATC/L
• Paul Nicholas Campos, PTA
• Care Physician Group
• Care Physician Group Management
• Rebecca Lynn Carter
• Kristi L. Chapman, PHYSICAL THERAPIST
• Mahan Chimanji, M.D.
• Cindi L Maddalone Ma LPC
• Coastal Medical Suites

• All providers in Rockport, TX
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.