Active NPI
Mark A. Pelton, RPH
- Pharmacist
- Racine, WI
National Provider Identifier
1033115787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10388
- Practice address
- 3801 Spring St
Racine, WI 53405-1667 - Phone
- (262) 687-5108
- NPI assigned
- Jun 27, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10388 | WI | Primary |
Addresses
Primary practice location
3801 Spring St
Racine, WI 53405-1667
Mailing address
218 Michigan CT
Racine, WI 53402-3883
Phone (262) 687-5108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10388 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033115787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 MICHIGAN CT",
"city": "RACINE",
"state": "WI",
"postal_code": "534023883",
"telephone_number": "262-687-5108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SPRING ST",
"city": "RACINE",
"state": "WI",
"postal_code": "534051667",
"telephone_number": "262-687-5108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELTON",
"first_name": "MARK",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.