Mark Ellis Shapiro, R.PH. B.SC.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI01767000 Issued in NJ

Practice address

100 Enterton Rd
Costco Pharmacy Dept. 749
Mount Laurel, NJ 08054-6103

Phone

(856) 359-3678

Fax

(856) 359-3675

NPI assigned

Oct 15, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1245515733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTERTON RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546103",
            "telephone_number": "856-359-3678",
            "fax_number": "856-359-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ENTERTON RD",
            "address_2": "COSTCO PHARMACY DEPT. 749",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546103",
            "telephone_number": "856-359-3678",
            "fax_number": "856-359-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MARK",
        "middle_name": "ELLIS",
        "name_prefix": "Mr.",
        "credential": "R.PH. B.SC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01767000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY PHARMACIST LICENSE NUMBER",
            "identifier": "28RI01767000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shady Rest Residential Facility
• Gopi Shah, LAC
• Priya Shah, D.O.
• Rinaben R Shah, PHYSICAL THERAPIST
• Gary I Shapiro, MD
• Sofya Shapiro, PA-C
• Robert David Share, RPH
• Anton Shcherbakov, PSY.D, BCBA
• Tracey M. Shears-Bethke, MD.
• Danielle Shekhter, CCC-SLP

• Pharmacist in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.