Active NPI
Mark Thomas Bentley, PHARMD
- Ambulatory Care Pharmacist
- El Paso, TX
National Provider Identifier
1174979041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 43371
- Practice address
- 11320 Montwood Dr
Albertsons Pharmacy #1016
El Paso, TX 79936-4383 - Phone
- (915) 857-6987
- NPI assigned
- May 10, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 43371 | TX | Primary |
Addresses
Primary practice location
11320 Montwood Dr
Albertsons Pharmacy #1016
El Paso, TX 79936-4383
Mailing address
11320 Montwood Dr
Albertsons Pharmacy #1016
El Paso, TX 79936-4383
Phone (915) 857-6987
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43371 | TX | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1174979041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11320 MONTWOOD DR",
"address_2": "ALBERTSONS PHARMACY #1016",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364383",
"telephone_number": "915-857-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11320 MONTWOOD DR",
"address_2": "ALBERTSONS PHARMACY #1016",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364383",
"telephone_number": "915-857-6987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTLEY",
"first_name": "MARK",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "43371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.