Dr. Mark Bornstein WC Pharmacy

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

PO-1420 Issued in FL

Legal business name

DR. MARK BORNSTEIN WC PHARMACY

Practice address

701 E Michigan St
Orlando, FL 32806-4623

Phone

(407) 310-8093

Fax

(407) 857-3893

NPI assigned

Jul 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mark D. Bornstein, DPM

Title

Doctor

Phone

(407) 310-8093

Specialties & licenses 1

Addresses

Tax ID family

Dr Mark Bornstein Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Mark Bornstein Pharmacy

  • Specialty Pharmacy
  • Orlando, FL
  • NPI 1639524010
  NPD tax ID

Locations

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1508218496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064623",
            "telephone_number": "407-310-8093",
            "fax_number": "407-857-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064623",
            "telephone_number": "407-310-8093",
            "fax_number": "407-857-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK BORNSTEIN WC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "407-310-8093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "PO-1420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Phillips Medical Center, LLC
• Dr. Phillips Modern Dentistry, PA (Doctor Phillips Modern Dentistry)

• Non-Pharmacy Dispensing Site in Orlando, FL
• Providers in Orlando, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.