Active NPI
Markia L Mobley, PHARMD
- Pharmacist
- Lake Mary, FL
National Provider Identifier
1114523255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59241
- Practice address
- 100 Technology Park Ste 158
Lake Mary, FL 32746-6205 - Phone
- (866) 842-2147
- NPI assigned
- Dec 4, 2020
- Sex
- Female
- 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 | PS59241 | FL | Primary |
Addresses
Primary practice location
100 Technology Park Ste 158
Lake Mary, FL 32746-6205
Mailing address
100 Technology Park Ste 158
Lake Mary, FL 32746-6205
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS59241 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neovance Specialty Pharmacy LLC | Current | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Neovance Specialty Pharmacy LLC | Past | Accepting new patients |
Locations
100 Technology Park
Ste 158
Lake Mary, FL 32746
Phone (407) 618-3611
Organizations & group practices 4
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
- Lake Mary, FL
- NPI 1780811125
-
- Pharmacy
- Wesley Chapel, FL
- NPI 1770467466
-
- Pharmacy
- Orlando, FL
- NPI 1407950371
-
- Specialty Pharmacy
- Memphis, TN
- NPI 1326983297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1114523255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TECHNOLOGY PARK STE 158",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327466205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TECHNOLOGY PARK STE 158",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327466205",
"telephone_number": "866-842-2147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBLEY",
"first_name": "MARKIA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.