Active NPI
Mark E Rock, RPH
- Pharmacist
- Marysville, WA
National Provider Identifier
1124098611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00018249
- Practice address
- 3711 88TH St NE
Marysville, WA 98270-7214 - Phone
- (360) 530-7761
- Fax
- (360) 530-7795
- NPI assigned
- Jan 25, 2006
- 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 | PH00018249 | WA | Primary |
Addresses
Primary practice location
3711 88TH St NE
Marysville, WA 98270-7214
Mailing address
13317 123Rd Ave NE
Lake Stevens, WA 98258-8372
Phone (360) 659-7488
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 |
|---|---|---|---|
| PH00018249 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Arlington, WA
- NPI 1568536092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124098611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13317 123RD AVE NE",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982588372",
"telephone_number": "360-659-7488",
"fax_number": "360-530-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 88TH ST NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982707214",
"telephone_number": "360-530-7761",
"fax_number": "360-530-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "MARK",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00018249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.