Mark E Sargeant, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH0008261 Issued in OR

Practice address

12250 SW Canyon Rd
Beaverton, OR 97005-2116

Phone

(503) 644-2101

Fax

(503) 626-8698

NPI assigned

Apr 11, 2008

Last updated

Oct 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1477726313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 SW CANYON RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052116",
            "telephone_number": "503-644-2101",
            "fax_number": "503-626-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 SW CANYON RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052116",
            "telephone_number": "503-644-2101",
            "fax_number": "503-626-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGEANT",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH0008261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.