Active NPI
Mark Richard Barry, DMD, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1154650877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40373
- Practice address
- 1202 Evans Rd Apt 1736
San Antonio, TX 78258-6974 - Phone
- (210) 219-4524
- Fax
- (210) 219-4524
- NPI assigned
- Dec 8, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40373 | TX | Primary |
| Dentist | 122300000X | DN21100 | MA |
Addresses
Primary practice location
1202 Evans Rd Apt 1736
San Antonio, TX 78258-6974
Mailing address
PO Box 591958
San Antonio, TX 78259-0147
Phone (210) 219-4524
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 |
|---|---|---|---|
| DN21100 | MA | MD | Dentist |
| 40373 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1154650877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 591958",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782590147",
"telephone_number": "210-219-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 EVANS RD APT 1736",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782586974",
"telephone_number": "210-219-4524",
"fax_number": "210-219-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "MARK",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-08",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "40373",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN21100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.