Individual provider Active NPI

Mark Schellenbaum II

  • Pharmacist
  • Sun City West, AZ
National Provider Identifier
1699257840
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S023550 Issued in AZ
Practice address
19003 N R H Johnson Blvd
Sun City West, AZ 85375-4402
Phone
(623) 584-3002
NPI assigned
Sep 4, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S023550 AZ Primary

Addresses

Primary practice location

19003 N R H Johnson Blvd
Sun City West, AZ 85375-4402

Mailing address

19003 N R H Johnson Blvd
Sun City West, AZ 85375-4402
Phone (623) 584-3002

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

State licenses

LicenseStateTypeSpecialty
S023550AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1699257840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19003 N R H JOHNSON BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754402",
            "telephone_number": "623-584-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19003 N R H JOHNSON BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754402",
            "telephone_number": "623-584-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLENBAUM",
        "first_name": "MARK",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S023550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.