Individual provider Active NPI

Mark Victor Pardini, PHARM. D.

  • Pharmacist
  • Reno, NV
National Provider Identifier
1902350333
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
08849 Issued in NV
Practice address
9890 Gainsborough LN
Reno, NV 89521-4381
Phone
(209) 765-3270
NPI assigned
Aug 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 08849 NV Primary

Addresses

Primary practice location

9890 Gainsborough LN
Reno, NV 89521-4381

Mailing address

9890 Gainsborough LN
Reno, NV 89521-4381
Phone (209) 765-3270

Other identifiers 1

IdentifierTypeStateIssuer
1902350333MedicaidNV

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
08849NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1902350333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 GAINSBOROUGH LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214381",
            "telephone_number": "209-765-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 GAINSBOROUGH LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214381",
            "telephone_number": "209-765-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDINI",
        "first_name": "MARK",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "08849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902350333",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.