Active NPI
Mark Russell Abel, CPHT
- Pharmacy Technician
- Huntsville, TX
National Provider Identifier
1033708045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 1702 11TH St
Huntsville, TX 77340-3723 - Phone
- (936) 291-0302
- NPI assigned
- Jan 13, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | Primary |
Addresses
Primary practice location
1702 11TH St
Huntsville, TX 77340-3723
Mailing address
1014 Oak Glen Dr
Willis, TX 77378-5743
Phone (979) 676-1859
Other practice location 1
2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-3777
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1033708045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 OAK GLEN DR",
"city": "WILLIS",
"state": "TX",
"postal_code": "773785743",
"telephone_number": "979-676-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 11TH ST",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773403723",
"telephone_number": "936-291-0302"
}
],
"practiceLocations": [
{
"address_1": "2801 Franciscan Dr",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "TX",
"postal_code": "778022544",
"country_code": "US",
"telephone_number": "979-776-3777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABEL",
"first_name": "MARK",
"middle_name": "RUSSELL",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.