Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1023405230 Deactivated / Inactive NPI Male Practitioner

Mark Dodge

Pharmacist • Phoenix, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Dodge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 26, 2015
NPI Deactivation Date December 25, 2025
Total Practice Duration ~10 Years of Practice (2015 – 2025)

Professional Overview & Biography Verified Profile Summary

Mark Dodge was a registered Pharmacist practicing in Phoenix, AZ. Throughout an active medical career spanning 10 years, Mark Dodge provided care at the practice location at 3210 E UNION HILLS DR until profile deactivation on 2025-12-25.

Practice Location & Contact Primary Location

Practice Address

3210 E Union Hills Dr

Phoenix, AZ 850503223

Telephone 6027884793
Associated Practice Facility / Clinic
🏢 German Dobson Cvs, L.l.c. Facility NPI 1932203825

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
1508 Specialists

Practicing in Phoenix, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ S016995

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1245790617

Registered Pharmacist

NPI 1396512851
NPI 1508693540
Christa Colvin , NP

Nurse Practitioner - Family

NPI 1568087955

Nurse Practitioner

NPI 1740694637

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 25, 2025

Record deactivated on December 25, 2025

NPI Profile Active April 26, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 26, 2015

Registered at 3210 E UNION HILLS DR, PHOENIX, AZ 850503223 (Tel: 6027884793)

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Updated Business Mailing Address April 26, 2015

Registered at 3210 E UNION HILLS DR, PHOENIX, AZ 850503223

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Provider Name / Credentials Updated April 26, 2015

Recorded as MARK DODGE

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2015

Pharmacist (License #S016995 in AZ)

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Initial NPI Registration & Enumeration April 26, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023405230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2015
Last Update: April 26, 2015
Deactivation Date: December 25, 2025

Mailing Address

3210 E Union Hills Dr

Phoenix, AZ 850503223

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.