Active NPI
Mark Lattimore, PHARM.D.
- Pharmacist
- Tucson, AZ
National Provider Identifier
1194265900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S014838
- Practice address
- 3700 E Columbia St
Suite 100
Tucson, AZ 85714-3412 - Phone
- (800) 252-6721
- Fax
- (800) 282-6729
- NPI assigned
- Feb 27, 2017
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | S014838 | AZ | Primary |
Addresses
Primary practice location
3700 E Columbia St
Suite 100
Tucson, AZ 85714-3412
Mailing address
3700 E Columbia St
Suite 100
Tucson, AZ 85714-3412
Phone (800) 252-6721
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 |
|---|---|---|---|
| S014838 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmerica Mountain LLC | Past | Accepting new patients | |
| NPI 1467464925 | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1194265900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 E COLUMBIA ST",
"address_2": "SUITE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857143412",
"telephone_number": "800-252-6721",
"fax_number": "800-282-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 E COLUMBIA ST",
"address_2": "SUITE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857143412",
"telephone_number": "800-252-6721",
"fax_number": "800-282-6729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTIMORE",
"first_name": "MARK",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S014838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.