Active NPI
Mark Lanasa Parks, CPHT
- Pharmacy Technician
- Charlotte, NC
National Provider Identifier
1346527710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 200 Hawthorne LN
3Rd Floor Pharmacy
Charlotte, NC 28204-2515 - Phone
- (704) 384-9480
- Fax
- (704) 316-4496
- NPI assigned
- Nov 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | NC | Primary |
Addresses
Primary practice location
200 Hawthorne LN
3Rd Floor Pharmacy
Charlotte, NC 28204-2515
Mailing address
5031 Waxhaw Crossing Dr
Waxhaw, NC 28173-2400
Phone (704) 616-9915
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1346527710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5031 WAXHAW CROSSING DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281732400",
"telephone_number": "704-616-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWTHORNE LN",
"address_2": "3RD FLOOR PHARMACY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042515",
"telephone_number": "704-384-9480",
"fax_number": "704-316-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "MARK",
"middle_name": "LANASA",
"name_prefix": "Mr.",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-13",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.