Active NPI
Mark Roth, RPH
- Pharmacist
- Newark, DE
National Provider Identifier
1083998892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP030231L
- Practice address
- 900 Center Blvd
#246 Pharmacy
Newark, DE 19702-3221 - Phone
- (302) 894-0250
- Fax
- (302) 894-0994
- NPI assigned
- Sep 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP030231L | PA | Primary |
| Pharmacist | 183500000X | A10003260 | DE |
Addresses
Primary practice location
900 Center Blvd
#246 Pharmacy
Newark, DE 19702-3221
Mailing address
900 Center Blvd
#246 Pharmacy
Newark, DE 19702-3221
Phone (302) 894-0250
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 |
|---|---|---|---|
| A10003260 | DE | MD | Pharmacist |
| RP030231L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1083998892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CENTER BLVD",
"address_2": "#246 PHARMACY",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023221",
"telephone_number": "302-894-0250",
"fax_number": "302-894-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CENTER BLVD",
"address_2": "#246 PHARMACY",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023221",
"telephone_number": "302-894-0250",
"fax_number": "302-894-0994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "MARK",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP030231L",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A10003260",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.