Individual provider Active NPI

Markia L Mobley, PHARMD

  • Pharmacist
  • Lake Mary, FL
National Provider Identifier
1114523255
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS59241 Issued in FL
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

Updated by the provider on Aug 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PS59241FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Neovance Specialty Pharmacy LLC CurrentSince Sep 5, 2023 Accepting new patients
Holiday CVS LLC PastSince Dec 1, 2020 Accepting new patients
Holiday CVS L.L.C. PastSince Dec 1, 2020 Accepting new patients
Neovance Specialty Pharmacy LLC PastSince Sep 5, 2023 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.

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.

Verify at the official NPI Registry.