MR. MARK MARAK (NPI# 1982204046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982204046 |
| Entity Type | Individual |
| Full Name | MR. MARK MARAK |
| Practice Address |
8801 Highway 107 Sherwood AR 72120-2929 |
| Practice Telephone | 5018333116 |
| Practice Fax Number | 5018333122 |
| Mailing Telephone | 5018333116 |
| Mailing Fax Number | 5018333122 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD8640 | AR | Pharmacy Service Providers |
| Street Address |
8801 HIGHWAY 107 |
| City | SHERWOOD |
| State | AR |
| Zip Code | 72120-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316964711 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8801 Highway 107, Sherwood, AR 72120-2929 | 2006-07-16 |
| 1659972214 | Eddie Dunn | Pharmacist | 8801 Highway 107, Sherwood, AR 72120-2929 | 2020-11-02 |
| 1639779291 | Kelley Brook Brockinton | Pharmacist | 8801 Highway 107, Sherwood, AR 72120-2929 | 2020-10-31 |
| 1497355291 | Jennifer Ann Ray | Pharmacist | 8801 Highway 107, Sherwood, AR 72120-2929 | 2020-10-29 |
| 1205436086 | Gaye Collins | Pharmacist | 8801 Highway 107, Sherwood, AR 72120-2929 | 2020-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215409818 | Mary Kaye Hill | Physical Therapist | 6020 Warden Road, Sherwood, AR 72120 | 2018-12-20 |
| 1043714694 | Healthcare Express, LLP | Clinic/Center | 1554 Country Club Road, Sherwood, AR 72120 | 2018-03-20 |
| 1265957690 | Darryl Nathaniel Griffith | Massage Therapist | 9871 Brockington Road, Suite #1, Sherwood, AR 72120 | 2017-08-07 |
| 1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
| 1063803328 | The Legacy for Children and Families | Counselor | 190 Jan Drive, Suite #10, Sherwood, AR 72120 | 2015-02-09 |
| 1417297235 | Andrew Hunter Beavers | Counselor | 37 Walton Rd., Sherwood, AR 72120 | 2013-02-15 |
| 1003156886 | Infinity Hearing Center Inc. | Hearing Aid Equipment | 3115 E Kiehl Ave, Suite B, Sherwood, AR 72120 | 2013-02-15 |
| 1548543234 | Lorrie Ann George | Early Intervention Provider Agency | 207 Fred Rains Drive, Sherwood, AR 72120 | 2011-09-20 |
| 1033411897 | Tessa Monique Davis | Occupational Therapist | 21 Gunstock Lane, North Little Rock, AR 72120 | 2010-11-30 |
| 1720307903 | Yousef Arfan Fahoum | Psychologist | 2215 Wildwood Ave Ste 200, Sherwood, AR 72120 | 2010-05-27 |
| Find all providers in zip 72120 | ||||
| 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 |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
| 1558763334 | Brian Koesy | Pharmacist | 4201 E Kiehl Ave, Sherwood, AR 72120-3541 | 2014-09-23 |
| 1366841785 | Tae Yoon | Pharmacist | 21320 Sw Langer Farms Parkway, Sherwood, OR 97140 | 2014-08-21 |
| 1053666768 | Peter Altfillisch | Pharmacist | W5077 Cherrywood Ct, Sherwood, WI 54169-9510 | 2012-07-18 |
| 1205084936 | Keri Kessel | Pharmacist | 16030 Sw Tualatin Sherwood Rd, Sherwood, OR 97140-8521 | 2008-09-06 |
| 1245831049 | Robiul Mostafa | Pharmacist | 9053 Highway 107, Sherwood, AR 72120-2933 | 2020-11-06 |
| 1467053942 | Hiedi Mason | Pharmacist | 9053 Highway 107, Sherwood, AR 72120-2933 | 2020-11-03 |
| 1659972214 | Eddie Dunn | Pharmacist | 8801 Highway 107, Sherwood, AR 72120-2929 | 2020-11-02 |
| 1497355291 | Jennifer Ann Ray | Pharmacist | 8801 Highway 107, Sherwood, AR 72120-2929 | 2020-10-29 |
| Find all providers in SHERWOOD | ||||
Please comment or provide details below to improve the information on MR. MARK MARAK.
| 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.