Active NPI
Mark Eamer Haugh, RPH
- Pharmacist
- Arden, NC
National Provider Identifier
1356851190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17133
- Practice address
- 60 Airport Rd
Arden, NC 28704-9405 - Phone
- (828) 684-6803
- NPI assigned
- Oct 6, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS35969 | FL | |
| Pharmacist | 183500000X | 17133 | NC | Primary |
Addresses
Primary practice location
60 Airport Rd
Arden, NC 28704-9405
Mailing address
109 Draw Bridge CT
Greer, SC 29651-2121
Phone (980) 233-1940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS35969 | Other | FL | FLORIDA BOARD OF PHARMACY - PHARMACIST LICENSE |
| 17133 | Other | NC | NC BOARD OF PHARMACY PHARMACIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS35969 | FL | MD | Pharmacist |
| 17133 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Arden, NC
- NPI 1063439206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507248000000",
"number": "1356851190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 DRAW BRIDGE CT",
"city": "GREER",
"state": "SC",
"postal_code": "296512121",
"telephone_number": "980-233-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 AIRPORT RD",
"city": "ARDEN",
"state": "NC",
"postal_code": "287049405",
"telephone_number": "828-684-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGH",
"first_name": "MARK",
"middle_name": "EAMER",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-06",
"last_updated": "2017-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS35969",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF PHARMACY - PHARMACIST LICENSE",
"identifier": "PS35969",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF PHARMACY PHARMACIST LICENSE",
"identifier": "17133",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.