Active NPI
Mark Henry Robbins
- Pharmacist
- La Porte, IN
National Provider Identifier
1457620734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26019605A
- Practice address
- 4627 N Maplewood Dr
La Porte, IN 46350-7738 - Phone
- (219) 210-5120
- NPI assigned
- Dec 15, 2011
- 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 | 26019605A | IN | Primary |
Addresses
Primary practice location
4627 N Maplewood Dr
La Porte, IN 46350-7738
Mailing address
4627 N Maplewood Dr
La Porte, IN 46350-7738
Phone (219) 210-5120
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 |
|---|---|---|---|
| 26019605A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robbins Inc | Current | Accepting new patients | |
| Robbins Inc | Current | 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 and National Provider Directory roles.
-
dba Phil's Health Mart Pharmacy
- Community/Retail Pharmacy
- Michigan City, IN
- NPI 1306180559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1457620734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4627 N MAPLEWOOD DR",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463507738",
"telephone_number": "219-210-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4627 N MAPLEWOOD DR",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463507738",
"telephone_number": "219-210-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "MARK",
"middle_name": "HENRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-15",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26019605A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.