Mark Truty II, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051290693 Issued in IL

Practice address

113 W Michigan St
Ottawa, IL 61350-2028

Phone

(815) 434-5355

Fax

(815) 434-9457

NPI assigned

Aug 28, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Benner Family Pharmacy

  • Community/Retail Pharmacy
  • Ottawa, IL
  • NPI 1841224003
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1821346552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W MICHIGAN ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502028",
            "telephone_number": "815-434-5355",
            "fax_number": "815-434-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W MICHIGAN ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502028",
            "telephone_number": "815-434-5355",
            "fax_number": "815-434-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUTY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051290693",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "20945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Todd, NP
• A Tomas, M.D.
• Bernard J. Torri, MASTERS DEGREE M.A.
• Ryan Joseph Tremb, D.O.
• Elizabeth Jo Trost, LCSW
• Timothy Bruce Turnipseed, PT
• Ushasri Koganti MDSC
• Robert John Uzumecki Jr., PTA
• Adam Richard Vaughan, ATC
• Daniel E Veronda, LCPC

• Pharmacist in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.