Individual provider Active NPI

Mark Edward Pilachowski, RPH

  • Pharmacist
  • Bel Air, MD
National Provider Identifier
1962556183
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
09843 Issued in MD
Practice address
5 Bel Air South Pkwy
Bel Air, MD 21015-6091
Phone
(443) 512-8373
Fax
(443) 512-8379
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 09843 MD
Pharmacist 183500000X 09843 MD Primary

Addresses

Primary practice location

5 Bel Air South Pkwy
Bel Air, MD 21015-6091

Mailing address

5 Bel Air South Pkwy Ste 301
Bel Air, MD 21015-6087
Phone (443) 512-8373

Other identifiers 1

IdentifierTypeStateIssuer
550692100MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mark.pilachowski@wakefern.com

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

LicenseStateTypeSpecialty
09843MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1962556183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEL AIR SOUTH PKWY STE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156087",
            "telephone_number": "443-512-8373",
            "fax_number": "443-512-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BEL AIR SOUTH PKWY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156091",
            "telephone_number": "443-512-8373",
            "fax_number": "443-512-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILACHOWSKI",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "09843",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "09843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550692100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mark.pilachowski@wakefern.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5 Bel Air South Pkwy",
            "city": "Bel Air",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210156091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.