Mark Jacob Mesibov

Primary specialty

PharmacistTaxonomy code 183500000X

License

46464 Issued in TN

Practice address

4560 Harding Pike
Nashville, TN 37205-6101

Phone

(615) 297-2279

NPI assigned

Aug 1, 2023

Sex

Male

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Nashville, TN
  • NPI 1346274073
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1174205173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 HARDING PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372056101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 HARDING PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372056101",
            "telephone_number": "615-297-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIBOV",
        "first_name": "MARK",
        "middle_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "46464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lynne Merriweather, LMSW
• Bonnie Miller Mersky, MD
• Howard R Mertz, M.D.
• Susan Michelle Mertz, RN
• Carlos Miguel Mery, M.D., M.P.H.
• Jennifer Mesina, PA
• Erin Messersmith
• Marion Leonard Messersmith, DDS, MSD
• Amy Messimore, AGACNP-BC
• Michael Messmer, LCSW

• Pharmacist in Nashville, TN
• Providers in Nashville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.