Active NPI
Mark Antonio Belardo Sr., RPH.
- Pharmacist
- Norfolk, VA
National Provider Identifier
1720375512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202012576
- Practice address
- 1245 N Military Hwy
Target Store 1048
Norfolk, VA 23502-2228 - Phone
- (757) 461-9356
- Fax
- (757) 461-9356
- NPI assigned
- Jun 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202012576 | VA | Primary |
Addresses
Primary practice location
1245 N Military Hwy
Target Store 1048
Norfolk, VA 23502-2228
Mailing address
1245 N Military Hwy
Target Store 1048
Norfolk, VA 23502-2228
Phone (757) 461-9356
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202012576 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1720375512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 N MILITARY HWY",
"address_2": "TARGET STORE 1048",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022228",
"telephone_number": "757-461-9356",
"fax_number": "757-461-9356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 N MILITARY HWY",
"address_2": "TARGET STORE 1048",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022228",
"telephone_number": "757-461-9356",
"fax_number": "757-461-9356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELARDO",
"first_name": "MARK",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202012576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
- Sissay S Befikadu, M.D.
- Itse Begho
- Behavioral Empowerment Coaching, PLLC (Behavioral Empowerment Therapy, Consulting, & Wellness)
- Ashish Behl, M.D.
- Firas Beitinjaneh, M.D.
- Alfreda Renee Bell, SOLE PROPRIETOR
- Audrey Dean Bell, CRT
- Mary Catherine Bell, RN-BC, QMHP-A/C
- Michael Antwan Bell
- Michelle V Bell, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.