Active NPI
Mark Alan Nieman, RPH
- Pharmacist
- Sebastian, FL
National Provider Identifier
1912276726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS35552
- Practice address
- 999 Sebastian Blvd
Sebastian, FL 32958-4861 - Phone
- (954) 316-6641
- NPI assigned
- Dec 22, 2011
- Last updated
- Dec 22, 2022
- Sex
- Male
- Sole proprietor
- No
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 | PS35552 | FL | Primary |
Addresses
Primary practice location
999 Sebastian Blvd
Sebastian, FL 32958-4861
Mailing address
999 Sebastian Blvd
Sebastian, FL 32958-4861
Phone (954) 298-5612
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS35552 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1912276726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 SEBASTIAN BLVD",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329584861",
"telephone_number": "954-298-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 SEBASTIAN BLVD",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329584861",
"telephone_number": "954-316-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEMAN",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-22",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS35552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastian, FL
- Christina Furst Namvar, D.O.
- Joelene Newman, COTA/L, OTR/L
- Nextgen Pathology
- Jonathan Nguyen, D.M.D.
- Sydney Nichols, MD
- Nola Trossman, Advanced Registered Nurse Practioner, LLC (Riverview Psychiatry and Family Medicine)
- Nomels Assisted Livings Facilities
- Noor M. Merchant MD & Associates PA
- Brittany Anne Norcross, APRN
- Norman I Meyer MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.