Mark Alexander Whittier, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

114024 Issued in MN

Practice address

130 Saint Olaf Ave N
Canby, MN 56220-1372

Phone

(507) 223-5955

NPI assigned

May 9, 2024

Last updated

May 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canby Drug & Gifts Inc

  dba Canby Drug & Gifts

  • Long Term Care Pharmacy
  • Canby, MN
  • NPI 1205608890
  NPD Authorized official
• Canby Drug & Gifts Inc

  dba Canby Drug

  • Community/Retail Pharmacy
  • Canby, MN
  • NPI 1588606016
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1124876503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LEXINGTON AVE",
            "city": "CANBY",
            "state": "MN",
            "postal_code": "562209272",
            "telephone_number": "507-829-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SAINT OLAF AVE N",
            "city": "CANBY",
            "state": "MN",
            "postal_code": "562201372",
            "telephone_number": "507-223-5955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Canby",
            "state": "MN",
            "postal_code": "562209272",
            "country_code": "US",
            "telephone_number": "507-829-4169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTIER",
        "first_name": "MARK",
        "middle_name": "ALEXANDER",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "114024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanford Health Network (Sanford Sylvan Court)
• Sanford Health Network (Memory House)
• Sanford Healthcare Accessories, LLC (Sanford Health Equip)
• Abigail Stoks, PA-C
• Robert Carl Welker, DC

• Pharmacist in Canby, MN
• Providers in Canby, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.