Active NPI
Mark William Mohr, PHARM.D.
- Pharmacist
- Long Prairie, MN
National Provider Identifier
1386836856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1179503
- Practice address
- 645 Lake St S
Long Prairie, MN 56347-1545 - Phone
- (320) 732-2915
- Fax
- (320) 732-2107
- NPI assigned
- Aug 17, 2007
- Last updated
- Aug 17, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1179503 | MN | Primary |
Addresses
Primary practice location
645 Lake St S
Long Prairie, MN 56347-1545
Mailing address
645 Lake St S
Long Prairie, MN 56347-1545
Phone (320) 732-2915
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 |
|---|---|---|---|
| 1179503 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coborns Inc | Past | Accepting new patients | |
| Coborns Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1386836856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 LAKE ST S",
"city": "LONG PRAIRIE",
"state": "MN",
"postal_code": "563471545",
"telephone_number": "320-732-2915",
"fax_number": "320-732-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 LAKE ST S",
"city": "LONG PRAIRIE",
"state": "MN",
"postal_code": "563471545",
"telephone_number": "320-732-2915",
"fax_number": "320-732-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHR",
"first_name": "MARK",
"middle_name": "WILLIAM",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "1179503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Prairie, MN
- Jennifer Marie Love, FNP
- Delray James Mathiason, D.C.
- Kelly Lee Mattson, DNP, APRN
- Minnesota Eyecare Network, Inc (Azure Vision Care)
- Minnesota Eyecare Network, Inc. (Long Prairie Eye Clinic)
- John P Nei, DDS
- Neighborhood Counseling Center of Wadena, Inc
- Jaycob Nietfeld, APRN
- Jennifer Oldenburg Sr., M.S, LMFT
- Christine M. Olson, R.N. CN/P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.