Active NPIIndividual providerSole proprietor

Dr. Mark Ikeda, PHARMD

Pharmacist in Woburn, Massachusetts

NPI Number1770186074
Practice location
891 Main St, Woburn, MA 01801-1803
Fax
—
Last updated
November 18, 2020

Mark Ikeda is a Pharmacist based in Woburn, MA. Mark Ikeda practices in Woburn, MA and has the professional credentials of PHARMD. The NPI Number for Mark Ikeda is 1770186074 and holds a License No. PH236756 (MA). The current practice location address for Mark Ikeda is 891 Main St, Woburn, MA 01801-1803 and can be reached out via phone at 781-376-1203.

Provider Profile Details

NPI Number
1770186074
Provider Name
Mark Ikeda
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
891 Main St, Woburn, MA 01801-1803
Phone Number
781-376-1203
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
November 18, 2020
Last Update Date
November 18, 2020
Certification Date
November 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
891 Main St
Woburn, MA 01801-1803
City
Woburn
Zip
01801-1803
Phone Number
781-376-1203
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
891 Main St
Woburn, MA 01801-1803
City
Woburn
State
MA
Zip
01801-1803
Phone Number
781-376-1203

License Information

License Number
PH236756
License State
MA
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 Dr. Mark Ikeda, PHARMD?

The NPI number of Dr. Mark Ikeda, PHARMD is 1770186074. It was assigned on November 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark Ikeda, PHARMD?

Dr. Mark Ikeda, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH236756.

Where does Dr. Mark Ikeda, PHARMD practice?

The practice location is 891 Main St, Woburn, MA 01801-1803. The office can be reached at 781-376-1203 (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 1770186074 directly on the NPPES registry website.

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