Active NPI
Mark Bruce Macneill, PHARMD
- Pharmacist
- Sebring, FL
National Provider Identifier
1629198635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41904
- Practice address
- 6360 US Highway 27 N
Sebring, FL 33870-1225 - Phone
- (863) 385-5588
- Fax
- (863) 385-1378
- NPI assigned
- Mar 31, 2007
- 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 | PS41904 | FL | Primary |
Addresses
Primary practice location
6360 US Highway 27 N
Sebring, FL 33870-1225
Mailing address
3215 W Lake Chilton Dr
Avon Park, FL 33825-8578
Phone (863) 873-4134
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS41904 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629198635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 W LAKE CHILTON DR",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338258578",
"telephone_number": "863-873-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 US HIGHWAY 27 N",
"city": "SEBRING",
"state": "FL",
"postal_code": "338701225",
"telephone_number": "863-385-5588",
"fax_number": "863-385-1378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACNEILL",
"first_name": "MARK",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
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.