Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316286966 Individual Practitioner Male Practitioner

Mark Daniel Mogensen , RPH

Pharmacist • Menominee, MI

Professional Overview & Biography Verified Profile Summary

Mark Mogensen, RPH is a registered healthcare professional specializing in Pharmacist in Menominee, MI. Practice services are available at 1015 13TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1015 13th St

Menominee, MI 498582722

Telephone 9068632589
Associated Practice Facility / Clinic
🏢 Woodward Detroit Cvs, L.l.c. Facility NPI 1992746895

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Menominee, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Menominee, MI (8602 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

CMS Verified: 2020-04-24
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302041718

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License WI 11976-040

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Michigan Pharmacist License
5302041718 (MI)
Commercial Insurance / Payer ID Wisconsin Pharmacist License
11976-040 (WI)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Matthew Thill

Pharmacist

NPI 1396336905
NPI 1740886829

Registered Pharmacist

Amber Prahl

Pharmacy Technician

NPI 1932908159

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 24, 2020

Registered at 1015 13TH ST, MENOMINEE, MI 498582722 (Tel: 9068632589)

📍
Updated Business Mailing Address April 24, 2020

Registered at 1015 13TH ST, MENOMINEE, MI 498582722 (Tel: 9068632589)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2020

Pharmacist (License #5302041718 in MI)

NPI Profile Active December 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2016

Registered at 2820 ROOSEVELT RD, MARINETTE, WI 54143 (Tel: 7153306171)

📍
Updated Business Mailing Address December 08, 2016

Registered at 2820 ROOSEVELT RD, MARINETTE, WI 54143 (Tel: 7153306171)

👤
Provider Name / Credentials Updated December 08, 2016

Recorded as MARK MOGENSEN, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2016

Pharmacist (License #11976-040 in WI)

🟢
Initial NPI Registration & Enumeration February 01, 2013

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: 1316286966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2013
Last Update: April 24, 2020
Sole Proprietor: Yes

Mailing Address

1015 13th St

Menominee, MI 498582722

Phone: 9068632589

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.