Active NPI
Mark W Vail, RPH
- Pharmacist
- Smyrna, TN
National Provider Identifier
1184919128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12044
- Practice address
- 463 Sam Ridley Pkwy West
Smyrna, TN 37167 - Phone
- (615) 355-6620
- NPI assigned
- Jun 17, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12044 | TN | Primary |
| Pharmacist | 183500000X | PS36524 | FL | |
| Pharmacist | 183500000X | 11550 | WI | |
| Pharmacist | 183500000X | RPH025316 | GA |
Addresses
Primary practice location
463 Sam Ridley Pkwy West
Smyrna, TN 37167
Mailing address
463 Sam Ridley Pkwy West
Smyrna, TN 37167
Phone (615) 355-6620
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 |
|---|---|---|---|
| PS36524 | FL | MD | Pharmacist |
| RPH025316 | GA | MD | Pharmacist |
| 12044 | TN | MD | Pharmacist |
| 11550 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308355200000",
"number": "1184919128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 SAM RIDLEY PKWY WEST",
"city": "SMYRNA",
"state": "TN",
"postal_code": "37167",
"telephone_number": "615-355-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 SAM RIDLEY PKWY WEST",
"city": "SMYRNA",
"state": "TN",
"postal_code": "37167",
"telephone_number": "615-355-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIL",
"first_name": "MARK",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "12044",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36524",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11550",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH025316",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.