Mark Gerard Carmon, PHARM.D.
Individual provider Active NPI Pharmacist · Morrow, GA
NPI 1144345752 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144345752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 022217 (GA)
- Practice address
- 2383 Lake Harbin Rd
Morrow, GA 30260-1941 - Phone
- (770) 961-5393
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022217 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 022217 | GA | Yes |
Addresses
Primary practice location
2383 Lake Harbin Rd
Morrow, GA 30260-1941
Mailing address
4735 Candy CV
Lithonia, GA 30038-7719
Phone (770) 322-3811
Other providers in Morrow, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.