Active NPI
Mark John Florzak, PHARMD
- Pharmacist
- Mineral Wells, TX
National Provider Identifier
1396356168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64765
- Practice address
- 201 FM 1821
Mineral Wells, TX 76067-9125 - Phone
- (940) 325-6084
- Fax
- (940) 325-4913
- NPI assigned
- Aug 13, 2020
- Last updated
- Aug 13, 2020
- 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 | 64765 | TX | Primary |
Addresses
Primary practice location
201 FM 1821
Mineral Wells, TX 76067-9125
Mailing address
201 FM 1821
Mineral Wells, TX 76067-9125
Phone (940) 325-6084
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 |
|---|---|---|---|
| 64765 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
201 FM 1821
Mineral Wells, TX 76067
Phone (940) 325-6084
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": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1396356168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 FM 1821",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760679125",
"telephone_number": "940-325-6084",
"fax_number": "940-325-4913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 FM 1821",
"city": "MINERAL WELLS",
"state": "TX",
"postal_code": "760679125",
"telephone_number": "940-325-6084",
"fax_number": "940-325-4913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORZAK",
"first_name": "MARK",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "64765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineral Wells, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.