Active NPI
Mark Hardison, R.PH./D.E.
- Pharmacist
- Fairhope, AL
National Provider Identifier
1730147943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10405
- Practice address
- 320 Cumberland Rd
Fairhope, AL 36532-3441 - Phone
- (205) 915-7700
- NPI assigned
- May 4, 2006
- Last updated
- Sep 16, 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 | 10405 | AL | Primary |
Addresses
Primary practice location
320 Cumberland Rd
Fairhope, AL 36532-3441
Mailing address
320 Cumberland Rd
Fairhope, AL 36532-3441
Phone (205) 915-7700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10405 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1730147943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 CUMBERLAND RD",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323441",
"telephone_number": "205-915-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 CUMBERLAND RD",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323441",
"telephone_number": "205-915-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDISON",
"first_name": "MARK",
"credential": "R.PH./D.E.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.