Active NPI
Mark Chismar
- Pharmacist
- Cambridge, OH
National Provider Identifier
1851649529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03213227
- Practice address
- 55 S 23Rd St
Cambridge, OH 43725-2180 - Phone
- (740) 432-3810
- Fax
- (740) 432-6803
- NPI assigned
- Aug 28, 2012
- 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 | 03213227 | OH | Primary |
Addresses
Primary practice location
55 S 23Rd St
Cambridge, OH 43725-2180
Mailing address
55 S 23Rd St
Cambridge, OH 43725-2180
Phone (740) 432-3810
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 |
|---|---|---|---|
| 03213227 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riesbeck Food Markets, Inc. | Pharmacist | 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": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1851649529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 S 23RD ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437252180",
"telephone_number": "740-432-3810",
"fax_number": "740-432-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 S 23RD ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437252180",
"telephone_number": "740-432-3810",
"fax_number": "740-432-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISMAR",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03213227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, OH
Sources for this page
- 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.