Active NPI
Mark David Bohrer, RPH
- Pharmacist
- Anchorage, AK
National Provider Identifier
1487928644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 969
- Practice address
- 2000 W Dimond Blvd
Anchorage, AK 99515-1453 - Phone
- (907) 267-6786
- Fax
- (907) 267-6799
- NPI assigned
- Mar 5, 2012
- 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 | 969 | AK | Primary |
Addresses
Primary practice location
2000 W Dimond Blvd
Anchorage, AK 99515-1453
Mailing address
2000 W Dimond Blvd
Anchorage, AK 99515-1453
Phone (907) 267-6786
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 |
|---|---|---|---|
| 969 | AK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1487928644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 W DIMOND BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995151453",
"telephone_number": "907-267-6786",
"fax_number": "907-267-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W DIMOND BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995151453",
"telephone_number": "907-267-6786",
"fax_number": "907-267-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHRER",
"first_name": "MARK",
"middle_name": "DAVID",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-05",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.