Mark Loren Barnes, RPH
Individual provider Active NPI Pharmacist · Saugatuck, MI
NPI 1881992287 · NPPES record last updated Mar 9, 2011
Key facts
- NPI
- 1881992287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302410934 (MI)
- Practice address
- 201 Butler St
Saugatuck, MI 49453-9493 - Phone
- (269) 857-2300
- Fax
- (269) 857-1874
- NPI assigned
- Mar 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302410934 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Pharmacies, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302410934 | MI | Yes |
Addresses
Primary practice location
201 Butler St
Saugatuck, MI 49453-9493
Mailing address
201 Butler St
Saugatuck, MI 49453-9493
Phone (269) 857-2300
Other providers in Saugatuck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.