Active NPI
Mark Alvin Titchener
- Pharmacist
- Lincoln, NE
National Provider Identifier
1043724313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13088
- Practice address
- 4700 N 27TH St
Lincoln, NE 68521-1190 - Phone
- (402) 348-3477
- NPI assigned
- Nov 25, 2017
- 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 | 13088 | NE | Primary |
Addresses
Primary practice location
4700 N 27TH St
Lincoln, NE 68521-1190
Mailing address
8860 Himark LN
Lincoln, NE 68526-1036
Phone (307) 631-6569
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": "1511568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511568000000",
"number": "1043724313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8860 HIMARK LN",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685261036",
"telephone_number": "307-631-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211190",
"telephone_number": "402-348-3477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITCHENER",
"first_name": "MARK",
"middle_name": "ALVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-25",
"last_updated": "2017-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.