Individual provider Active NPI

Mark Nemenz, RPH,MBA

  • Pharmacist
  • North Lima, OH
National Provider Identifier
1285915173
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03122356-1 Issued in OH
Practice address
1280 Sharrott Run PL
North Lima, OH 44452-8501
Phone
(330) 507-7215
NPI assigned
Sep 6, 2011
Last updated
Sep 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS032022 FL
Pharmacist 183500000X 03122356-1 OH Primary

Addresses

Primary practice location

1280 Sharrott Run PL
North Lima, OH 44452-8501

Mailing address

1280 Sharrott Run PL
North Lima, OH 44452-8501

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
Master of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS032022FLMDPharmacist
03122356-1OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1285915173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 SHARROTT RUN PL",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444528501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 SHARROTT RUN PL",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444528501",
            "telephone_number": "330-507-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMENZ",
        "first_name": "MARK",
        "credential": "RPH,MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS032022",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03122356-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.