Individual provider Active NPI

Mark Richard Stroud, BS

  • Pharmacist
  • Plains, PA
National Provider Identifier
1700475126
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP041406L Issued in PA
Practice address
79 E Carey St
Plains, PA 18705-2007
Phone
(570) 823-3151
NPI assigned
Jan 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP041406L PA Primary

Addresses

Primary practice location

79 E Carey St
Plains, PA 18705-2007

Mailing address

293 Harris Pond Rd
Sweet Valley, PA 18656-2402
Phone (570) 823-3151

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
RP041406LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheehans Pharmacy Inc CurrentSince Apr 17, 2022 Accepting new patients
Sheehans Pharmacy Inc PastSince Jan 17, 2021 Accepting new patients

Locations

79 E Carey St
Wilkes Barre, PA 18705
Phone (570) 823-3151

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1700475126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 HARRIS POND RD",
            "city": "SWEET VALLEY",
            "state": "PA",
            "postal_code": "186562402",
            "telephone_number": "570-823-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E CAREY ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187052007",
            "telephone_number": "570-823-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP041406L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.