Mark B Robertson, PHARM-D

Primary specialty

PharmacistTaxonomy code 183500000X

License

14451 Issued in AZ

Practice address

3699 Hiway 95
Ste 100
Bullhead City, AZ 86442-9118

Phone

(928) 704-5065

Fax

(928) 704-5075

NPI assigned

Jan 29, 2012

Last updated

Jan 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1327795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327795200000",
    "number": "1962774521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 HIWAY 95",
            "address_2": "STE 100",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864429118",
            "telephone_number": "928-704-5065",
            "fax_number": "928-704-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 HIWAY 95",
            "address_2": "STE 100",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864429118",
            "telephone_number": "928-704-5065",
            "fax_number": "928-704-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHARM-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-29",
        "last_updated": "2012-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "14451",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "12780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riviera Surgical Center LLC
• Rivyve Behavioral Health, Inc.
• Robert B. Currivan DMD, PC
• Kitrina Roberts Cooper
• Christopher Robertson
• Kyler Scott Robinson, PHARMD
• Rocky Mountain Holdings, LLC (TriState Care Flight)
• Shawna Roen, LCSW
• Rey Plasabas Roferos, AGPCNP-BC
• Matthew James Rohler, PA

• Pharmacist in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.