Individual provider Active NPI

Mark D'Alencar

  • Pharmacist
  • Saint Paul, MN
National Provider Identifier
1740900273
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
125744 Issued in MN
Practice address
78 10TH St E Unit 2403
Saint Paul, MN 55101-2250
Phone
(339) 368-4728
NPI assigned
Sep 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 125744 MN Primary

Addresses

Primary practice location

78 10TH St E Unit 2403
Saint Paul, MN 55101-2250

Mailing address

78 10TH St E Unit 2403
Saint Paul, MN 55101-2250
Phone (339) 368-4728

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mark.d'alencar@cub.com Direct

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
125744MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1740900273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 10TH ST E UNIT 2403",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012250",
            "telephone_number": "339-368-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 10TH ST E UNIT 2403",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012250",
            "telephone_number": "339-368-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALENCAR",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "125744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mark.d'alencar@cub.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "78 10th St E Unit 2403",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551012250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.