Mark Lacson, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202210881 Issued in VA

Practice address

5036 Ferrell Pkwy
Virginia Beach, VA 23464-8867

Phone

(757) 495-3088

Fax

(757) 495-6581

NPI assigned

Aug 24, 2011

Sex

Male

Sole proprietor

No

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

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite Aid of Virginia Inc

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1215941463
  NPD (past)
• Rite Aid of Virginia Inc

  • Community/Retail Pharmacy
  • Grottoes, VA
  • NPI 1982319000
  NPD (past)

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1639459449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 FERRELL PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648867",
            "telephone_number": "757-495-3088",
            "fax_number": "757-495-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 FERRELL PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648867",
            "telephone_number": "757-495-3088",
            "fax_number": "757-495-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACSON",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Daezel Aler Lacanlale, FNP-C
• Raymond C Lackore, M.D.
• Kimberly Brown Lacroix, M.ED. ED.S
• Deja Amari Lacy
• Kristie Leigh Lacy
• Constance C Ladd
• Cathi M Laderberg, MS,CCC-SLP
• Steven Michael Laderberg, O.D.

• Pharmacist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.