Active NPI
Mark Tollison Barnes, R.PH.
- Pharmacist
- Baxley, GA
National Provider Identifier
1619063765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH013465
- Practice address
- 694 S Main St
Baxley, GA 31513-0124 - Phone
- (912) 367-2424
- Fax
- (912) 367-4732
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- 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 | RPH013465 | GA | Primary |
Addresses
Primary practice location
694 S Main St
Baxley, GA 31513-0124
Mailing address
694 S Main St
Baxley, GA 31513-0124
Phone (912) 367-2424
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 |
|---|---|---|---|
| RPH013465 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnes Drug Store, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619063765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "694 S MAIN ST",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315130124",
"telephone_number": "912-367-2424",
"fax_number": "912-367-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "694 S MAIN ST",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315130124",
"telephone_number": "912-367-2424",
"fax_number": "912-367-4732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "MARK",
"middle_name": "TOLLISON",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH013465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baxley, GA
- Appling Total Wellness, LLC
- Michael Dustin Arnold, MA, NCC, LPC
- Briana Baxley Aycock, PHARMD
- Barjinder Singh,MD (south georgia oncology hematology center)
- Barnes Drug Store, LLC (Barnes Pharmacy)
- Jessie Marguriette Bass, NP-C
- Baxley Eyecare Center
- Baxley Medical Clinic, LLC
- Baxley Primary Care, PC
- Baxley Wellness Pharmacy Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.