MARK LIU (NPI# 1902203995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902203995 |
| Entity Type | Individual |
| Full Name | MARK LIU |
| Practice Address |
1550 Pratt St Philadelphia PA 19124 |
| Mailing Address |
1550 Pratt St Philadelphia PA 19124-1923 |
| Practice Telephone | 2676868800 |
| Practice Fax Number | 2676868745 |
| Mailing Telephone | 2676868800 |
| Mailing Fax Number | 2676868745 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP444068 | PA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 338 E Allegheny Ave, Philadelphia, PA 191342321 | 2156344397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720326143 | Mark Liu | Pharmacist | 51501 S. Columbia River Hwy, Scappoose, OR 97056 | 2013-01-18 |
| 1952539470 | Mark Liu | Anesthesiology | 3551 Roger Brooke Dr, San Antonio, TX 78234-4501 | 2009-06-23 |
| 1497899116 | Mark D Liu | Physician Assistant | 2045 Franklin St, Denver, CO 80205-5437 | 2007-02-16 |
| 1013085273 | Mark Adam Liu | Dentist | 7911 41st Ave, Suite A-107, Elmhurst, NY 11373-1258 | 2006-12-04 |
| 1790721488 | Mark Liu | Internal Medicine | 5501 Hopkins Bayview Cir, Baltimore, MD 21224-6821 | 2006-06-21 |
| 1710967914 | Mark Y Liu | Family Medicine | 7210 Roosevelt Way Ne, Seattle, WA 98115-5600 | 2006-01-23 |
| Street Address |
1550 PRATT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730300104 | Iii Kings Inc. | Technician/Technologist | 1550 Pratt St, Philadelphia, PA 19124-1923 | 2007-05-01 |
| 1720455819 | Wellcare Pharmacy 2 | Pharmacy | 1550 Pratt St, Fl 1, Philadelphia, PA 19124-1923 | 2015-08-25 |
| 1144626326 | Aboubakar Sylla | Social Worker | 1550 Pratt St, Philadelphia, PA 19124-1923 | 2014-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1639797574 | Nikia Moody | Pharmacist | 3300 S Broad St, Philadelphia, PA 19145-5802 | 2020-07-07 |
| 1730706136 | William Galson | Pharmacist | 2732 E Venango St, Philadelphia, PA 19134-6121 | 2020-07-01 |
| 1801413489 | Kim-anh Tran | Pharmacist | 633 W Rittenhouse St Apt A204, Philadelphia, PA 19144-4327 | 2020-06-30 |
| 1376160374 | Amjad Azzawe | Pharmacist | 1335 Mount Vernon St, Philadelphia, PA 19123-3211 | 2020-06-25 |
| 1861017345 | Alice Hong Chandler | Pharmacist | 1405 S 10th St # At, Philadelphia, PA 19147-5608 | 2020-06-10 |
| 1710509518 | Nicholas Jospeh Carroll | Pharmacist | 21302 Delaire Landing Rd, Philadelphia, PA 19114-5205 | 2020-05-14 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1871129809 | Adina Klingman | Pharmacist | 5800 Woodland Ave, Philadelphia, PA 19143-5918 | 2020-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.