Individual ProviderMark SmithPharmacistPharmacy Service ProvidersPractice Address436 Fort Washington Ave, #3e, New York, NY 10033-3507(646) 258-9227PECOS EnrollmentBased on the most recent information from CMS, provider Mark Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 10 days ago.Profile DetailsProvider ID1689994238Provider TypeIndividualFull NameSmith, MarkCredentialPHARM. DGenderMaleSole ProprietorYesEnumeration Date6/6/2010Last Updated4/25/2016Contact InformationPractice LocationPractice Address436 Fort Washington Ave, #3e, New York, NY 10033-3507Phone(646) 258-9227FaxUnlisted FaxMailing LocationMailing Address436 Fort Washington Ave, #3e, New York, NY 10033-3507Phone(646) 258-9227FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense050389New York