Active NPIIndividual provider

Mark S Gravenstine

Pharmacist in Ocean City, New Jersey

NPI Number1639769813
Practice location
1128 Bay Ave Apt 14, Ocean City, NJ 08226-3300
Fax
—
Last updated
January 21, 2021

Mark Scott Gravenstine is a Pharmacist based in Ocean City, NJ. Mark Scott Gravenstine practices in Ocean City, NJ. The NPI Number for Mark Scott Gravenstine is 1639769813 and holds a License No. 28RI01770000 (NJ). The current practice location address for Mark Scott Gravenstine is 1128 Bay Ave Apt 14, Ocean City, NJ 08226-3300 and can be reached out via phone at 609-220-3726.

Provider Profile Details

NPI Number
1639769813
Provider Name
Mark Scott Gravenstine
Provider Entity Type
Individual
Gender
Male
Address
1128 Bay Ave Apt 14, Ocean City, NJ 08226-3300
Phone Number
609-220-3726
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
January 21, 2021
Last Update Date
January 21, 2021
Certification Date
January 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1128 Bay Ave Apt 14
Ocean City, NJ 08226-3300
Zip
08226-3300
Phone Number
609-220-3726
Ocean City, NJ 08226Get directions →

Provider Business Mailing Address Details

Address
1128 Bay Ave Apt 14
Ocean City, NJ 08226-3300
City
Ocean City
State
NJ
Zip
08226-3300
Phone Number
609-220-3726

License Information

License Number
28RI01770000
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark S Gravenstine?

The NPI number of Mark S Gravenstine is 1639769813. It was assigned on January 21, 2021 and is currently active in the NPPES registry.

What is the specialty of Mark S Gravenstine?

Mark S Gravenstine is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI01770000.

Where does Mark S Gravenstine practice?

The practice location is 1128 Bay Ave Apt 14, Ocean City, NJ 08226-3300. The office can be reached at 609-220-3726 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639769813 directly on the NPPES registry website.

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