Mark Gerard Carmon, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

022217 Issued in GA

Practice address

2383 Lake Harbin Rd
Morrow, GA 30260-1941

Phone

(770) 961-5393

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By 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

Doctor of Pharmacy

State licenses

Practice roles

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.

• Eckerd Corporation

  dba Rite Aid Pharmacy 11268

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144345752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 CANDY CV",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300387719",
            "telephone_number": "770-322-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2383 LAKE HARBIN RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601941",
            "telephone_number": "770-961-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMON",
        "first_name": "MARK",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "022217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Canzius, RN
• Capitol Anesthesiology, PC
• Care First Private Home Care
• Angela Carmichael
• Diana Carmichael, DNP
• Lashunda Carroll, CNA
• Centerwell Senior Primary Care Ga PC (CenterWell Senior Primary Care-Morrow)
• Cheng Chen, OD
• Peter Qiang Chen, O.D.
• Child, Youth, Adolescents, and Families

• Pharmacist in Morrow, GA
• Providers in Morrow, GA by specialty
• Pharmacist in Georgia

• 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.

Verify at the official NPI Registry.