Mark William Polimeno, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

A1-0003653 Issued in DE

Practice address

1201 N Market St Ste 101
Wilmington, DE 19801-1139

Phone

(302) 660-3901

Fax

(302) 660-3903

NPI assigned

May 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Locations

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.

• Walgreen Co

  • Pharmacy
  • Wilmington, DE
  • NPI 1477096204
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1649438300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N MARKET ST STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011139",
            "telephone_number": "302-660-3901",
            "fax_number": "302-660-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N MARKET ST STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011139",
            "telephone_number": "302-660-3901",
            "fax_number": "302-660-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIMENO",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0003653",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP448885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Sidney Pogach, O.D.
• Renee Pogrebneak, OD
• Orenda Poindexter
• Nathan Poleck, D.M.D.
• Margalita Poletunow, NCC
• Tracy Croswell Polk, MSW
• Katherine Douglass Pollack, OTD, OTR/L, ATACP
• Catherine Pollard
• Amanda Kristine Pollock
• Michael K Polnerow, D.O.

• Pharmacist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Pharmacist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.