MARK ROTH (NPI# 1083998892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083998892 |
| Entity Type | Individual |
| Full Name | MARK ROTH |
| Credential | RPH |
| Practice Address |
900 Center Blvd #246 Pharmacy Newark DE 19702-3221 |
| Practice Telephone | 3028940250 |
| Practice Fax Number | 3028940994 |
| Mailing Telephone | 3028940250 |
| Mailing Fax Number | 3028940994 |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | A10003260 | DE | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP030231L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352274 | Mark Roth | Pathology | National Cancer Institute Bldg 10, Room 2s235k, Bethesda, MD 20892-0001 | 2020-09-25 |
| 1356651640 | Mark David Roth | Behavioral Analyst | 118 Maple St, Bangor, ME 04401-4032 | 2010-10-20 |
| 1740313014 | Mark Julian Roth | Dentist | 53 Connecticut Blvd, East Hartford, CT 06108-3055 | 2007-03-14 |
| 1801998893 | Mark Allan Roth | Internal Medicine | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2006-09-01 |
| 1881638690 | Mark R Roth | Psychologist | 333 N Alabama St, Suite 350, Indianapolis, IN 46204-2034 | 2006-06-15 |
| 1144210279 | Mark D Roth | Surgery | 45 Roadside Ave, Waynesboro, PA 17268-2542 | 2005-10-28 |
| 1609927334 | Mark Samuel Roth | Pediatrics | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2007-01-16 |
| 1770641284 | Mark David Roth | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2006-12-05 |
| Street Address |
900 CENTER BLVD #246 PHARMACY |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548370158 | Costco Wholesale Corporation | Pharmacy | 900 Center Blvd, Newark, DE 19702-3221 | 2006-08-30 |
| 1790171726 | Costco Wholesale Corporation | Hearing Aid Equipment | 900 Center Blvd, Newark, DE 19702-3221 | 2015-04-07 |
| 1487048658 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 900 Center Blvd, Newark, DE 19702-3221 | 2015-03-25 |
| 1760757397 | Victor Mark | Pharmacist | 900 Center Blvd, Newark, DE 19702-3221 | 2012-03-15 |
| 1689941361 | Karen Gott Padlo | Pharmacist | 900 Center Blvd, Newark, DE 19702-3221 | 2011-11-22 |
| 1902180003 | Lucy M Brandolo | Pharmacist | 900 Center Blvd, Newark, DE 19702-3221 | 2011-10-06 |
| 1376827857 | Adrienne Daskus-ferm | Pharmacist | 900 Center Blvd, Newark, DE 19702-3221 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| 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 |
|---|---|---|---|---|
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1023621703 | Theresa Ebinger | Pharmacist | 4114 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2020-08-24 |
| 1689217093 | Princess Ohene | Pharmacist | 3c Windsor Cir, Newark, DE 19702-1493 | 2019-10-18 |
| 1407498165 | Gabrielle Landes | Pharmacist | 50 Halsey St Apt 606t, Newark, NJ 07102-3079 | 2019-10-15 |
| 1033771894 | Vivek Shah | Pharmacist | 451 Bloomfield Ave, Newark, NJ 07107-1866 | 2019-07-02 |
| 1205324910 | Donna Marie Walsh | Pharmacist | 4755 Ogletown Stanton Rd Ofc Le15, Newark, DE 19718-2200 | 2018-04-27 |
| 1619465978 | Nermin R. Boles-attia | Pharmacist | 150 Bergen St Rm B134, Newark, NJ 07103-2496 | 2018-04-23 |
| 1043727589 | Kayleigh M Johnson | Pharmacist | 2000 Tamarack Rd Fl 2, Newark, OH 43055-1183 | 2018-01-05 |
| 1831615327 | Maria Fidelis Ilagan Romero | Pharmacist | 72 W Kyla Marie Dr, Newark, DE 19702-5433 | 2017-08-16 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on MARK ROTH.
| 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.