Individual provider Active NPI

Mark Edward Sarnowski, RPH, CCN

  • Nutrition Support Pharmacist
  • Santa Fe, NM
National Provider Identifier
1326192063
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
NM4889 Issued in NM
Practice address
2225 Calle Alvarado
Santa Fe, NM 87505-4942
Phone
(505) 982-6374
Fax
(505) 473-0842
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Pharmacist 1835N1003X NM4889 NM Primary

Addresses

Primary practice location

2225 Calle Alvarado
Santa Fe, NM 87505-4942

Mailing address

2225 Calle Alvarado
Santa Fe, NM 87505-4942
Phone (505) 982-6374

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

LicenseStateTypeSpecialty
NM4889NMMDNutrition Support Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326192063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 CALLE ALVARADO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054942",
            "telephone_number": "505-982-6374",
            "fax_number": "505-473-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 CALLE ALVARADO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054942",
            "telephone_number": "505-982-6374",
            "fax_number": "505-473-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARNOWSKI",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "RPH, CCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "NM",
            "license": "NM4889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • 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.