Individual provider Active NPI

Mark Olivares, PHARM. D.

  • Pharmacist
  • Laredo, TX
National Provider Identifier
1356938096
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59172 Issued in TX
Practice address
3527 Jaime Zapata Memorial Hwy
Laredo, TX 78043-4788
Phone
(956) 717-1515
NPI assigned
Dec 29, 2020
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
59172TXMDPharmacist

Interoperability endpoints

  • Direct secure messaging: 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

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.

Verify at the official NPI Registry.