Mark Philip Tarquinio, BS PHARMACY

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP028207L Issued in PA

Practice address

14 South Main St
Harters Drug Store
Muncy, PA 17756-1306

Phone

(570) 546-3270

Fax

(570) 546-2848

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harter's Drug Store

  • Pharmacy
  • Muncy, PA
  • NPI 1578568028
  Authorized official Same address or phone

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194812610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SOUTH MAIN ST",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561306",
            "telephone_number": "570-546-3270",
            "fax_number": "570-546-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SOUTH MAIN ST",
            "address_2": "HARTERS DRUG STORE",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561306",
            "telephone_number": "570-546-3270",
            "fax_number": "570-546-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARQUINIO",
        "first_name": "MARK",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "BS PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP028207L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009867220001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "B943063",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mollie Elizabeth Sullivan, SLP
• Susquehanna Physician Services
• Susquehanna Physician Services
• Susquehanna Physician Services (Susquehanna Health Medical Group)
• Afrah Talpur, MD
• Trudy L Temple
• The River Valley Regional Young Men's Christian Association
• Allan P. Tidwell, PA-C
• Townville Inc (Townville Pharmacy)
• Peter B Trevouledes, M.D.

• Pharmacist in Muncy, PA
• Providers in Muncy, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.