MR. MARK GORDON PHARMD
NPI 1841576543
Pharmacist in Grand Chute, WI

Active since October 25, 2011
1305 N CASALOMA DR, GRAND CHUTE, WI 54913(920) 730-8218(920) 730-8287 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark Gordon Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK GORDON PHARMD (NPI 1841576543) is an individual pharmacist in Grand Chute, Wisconsin, licensed in Wisconsin (15530-040) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1841576543
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. MARK GORDONCredential: PHARMD
Location Address1305 N CASALOMA DRGrand Chute, WI 54913-8848
Mailing Address1305 N Casaloma DrGrand Chute, WI 54913-8848 · (920) 730-8218 · Fax (920) 730-8287
Fax(920) 730-8287
Sole ProprietorNo
Enumeration DateOctober 25, 2011
NPI 1841576543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 15530-040
Definition

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.

1305 N CASALOMA DR, Grand Chute, WI 54913

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
1305 N CASALOMA DR
GRAND CHUTE, WI 54913
Pharmacist
1305 N CASALOMA DR
GRAND CHUTE, WI 54913
Pharmacist
1305 N CASALOMA DR
GRAND CHUTE, WI 54913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Gordon's NPI number?

The NPI number for Mark Gordon is 1841576543. It was assigned to this individual provider in the NPPES registry on October 25, 2011.

Where is Mark Gordon located?

Mark Gordon practices at 1305 N Casaloma Dr, Grand Chute, WI 54913. The listed phone number is (920) 730-8218.

What is Mark Gordon's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mark Gordon was last updated on October 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.