Active NPI
Mark Cloninger, PHARMACIST
- Pharmacist
- Spring Hope, NC
National Provider Identifier
1407853260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10452
- Practice address
- 98 Dodd Street
Spring Hope, NC 27882 - Phone
- (252) 478-5969
- Fax
- (252) 478-2978
- NPI assigned
- Jul 7, 2005
- Last updated
- Aug 28, 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 | 10452 | NC | Primary |
Addresses
Primary practice location
98 Dodd Street
Spring Hope, NC 27882
Mailing address
1212 Narron Farm Rd
Zebulon, NC 27597-5730
Phone (919) 269-4495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0645440 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10452 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swofford Inc | Current | Accepting new patients | |
| Spring Hope Discount Pharmacy | Current | Accepting new patients |
Locations
98 Dodd St
Spring Hope, NC 27882
Phone (252) 478-5969
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
- Spring Hope, NC
- NPI 1750054532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1407853260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 NARRON FARM RD",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275975730",
"telephone_number": "919-269-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 DODD STREET",
"city": "SPRING HOPE",
"state": "NC",
"postal_code": "27882",
"telephone_number": "252-478-5969",
"fax_number": "252-478-2978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLONINGER",
"first_name": "MARK",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0645440",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Hope, NC
- Bonita C Aycock, FNP
- Michelle Wilkins Beckham, MD
- Xaverie Lene Benedict, DO
- Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care of Spring Hope)
- Care Networks Inc.
- Natalie Jean Cook, PA
- Cornerstone Community Support Services, Inc.
- Cornerstone Community Support Services, Inc.
- Jacqueline A. Delia, RD, LDN
- Dots Transportation Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.