Active NPI
Brian Scott Marks, RPH
- Pharmacist
- High Point, NC
National Provider Identifier
1396957072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12854
- Practice address
- 2401 Hickswood Rd
Suite B (Deep River Drug)
High Point, NC 27265 - Phone
- (336) 454-3784
- NPI assigned
- May 4, 2007
- Last updated
- Jul 8, 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 | 12854 | NC | Primary |
Addresses
Primary practice location
2401 Hickswood Rd
Suite B (Deep River Drug)
High Point, NC 27265
Mailing address
2416 Wildcrest CT
High Point, NC 27265-9227
Phone (336) 882-4533
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 |
|---|---|---|---|
| 12854 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archdale Drug Co Inc | Past | Accepting new patients | |
| Archdale Drug Co 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.
-
- Community/Retail Pharmacy
- Archdale, NC
- NPI 1467559393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396957072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 WILDCREST CT",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272659227",
"telephone_number": "336-882-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 HICKSWOOD RD",
"address_2": "SUITE B (DEEP RIVER DRUG)",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "27265",
"telephone_number": "336-454-3784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "BRIAN",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.