Active NPI
Mark Steven Seckinger
- Pharmacist
- Covington, VA
National Provider Identifier
1093319212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202007221
- Practice address
- 1017 S Craig Ave
Covington, VA 24426-2296 - Phone
- (540) 962-3951
- NPI assigned
- Nov 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Pharmacy
- Covington, VA
- NPI 1083717714
-
- Pharmacy
- Sterling, VA
- NPI 1689558371
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202007221 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy LLC | Current | Accepting new patients | |
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Locations
1111 S Craig Ave
Covington, VA 24426
Phone (540) 962-3591
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202007221 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1017 S Craig Ave
Covington, VA 24426-2296
Mailing address
1017 S Craig Ave
Covington, VA 24426-2248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 29, 2020.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1093319212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 S CRAIG AVE",
"city": "COVINGTON",
"state": "VA",
"postal_code": "244262248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 S CRAIG AVE",
"city": "COVINGTON",
"state": "VA",
"postal_code": "244262296",
"telephone_number": "540-962-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECKINGER",
"first_name": "MARK",
"middle_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202007221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.