Active NPI
Mark Olivares, PHARM. D.
- Pharmacist
- Laredo, TX
National Provider Identifier
1356938096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59172
- Practice address
- 3527 Jaime Zapata Memorial Hwy
Laredo, TX 78043-4788 - Phone
- (956) 717-1515
- NPI assigned
- Dec 29, 2020
- Last updated
- Dec 29, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59172 | TX | Primary |
Addresses
Primary practice location
3527 Jaime Zapata Memorial Hwy
Laredo, TX 78043-4788
Mailing address
3527 Jaime Zapata Memorial Hwy
Laredo, TX 78043-4788
Phone (956) 717-1515
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mark.olivares@cvshealth.com | Health Information Exchange (HIE) |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59172 | TX | MD | Pharmacist |
Interoperability endpoints
- mark.olivares@cvshealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1356938096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3527 JAIME ZAPATA MEMORIAL HWY",
"city": "LAREDO",
"state": "TX",
"postal_code": "780434788",
"telephone_number": "956-717-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3527 JAIME ZAPATA MEMORIAL HWY",
"city": "LAREDO",
"state": "TX",
"postal_code": "780434788",
"telephone_number": "956-717-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVARES",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-29",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "59172",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Mark.olivares@cvshealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3527 Jaime Zapata Memorial Hwy",
"city": "Laredo",
"state": "TX",
"country_code": "US",
"postal_code": "780434788",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Laredo, TX
- Janice Alexandra Ochoa
- Monica Ochoa, FNP
- Octavio E. Guzman M.D., PA
- Charles A Odom, CRNA
- Ogechi Ohakwe, PMHNP
- Dolores Garza Olivarez, CCC,SLP
- Julia Olivarez
- Oliveira Audiology & Hearing Center PLLC
- Oliveira Audiology and Hearing Center PLLC (Oliveira Audiology and Hearing Center)
- Carlos T Oliveira, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.