Mark Fox
Individual provider Active NPI Pharmacist · Barnhart, MO
NPI 1356625941 · NPPES record last updated Sep 30, 2011
Key facts
- NPI
- 1356625941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 044470 (MO)
- Practice address
- 1718 Catlin Dr
Barnhart, MO 63012-1277 - Phone
- (636) 461-1347
- Fax
- (636) 461-1718
- NPI assigned
- Sep 30, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044470 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044470 | MO | Yes |
Addresses
Primary practice location
1718 Catlin Dr
Barnhart, MO 63012-1277
Mailing address
1718 Catlin Dr
Barnhart, MO 63012-1277
Phone (636) 461-1347
Other providers in Barnhart, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.