Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marcus Mog

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1528669322

Marcus Mog is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Frederick, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1700 Kingfisher Dr
Frederick, MD 21701-4775
Phone: (301) 815-2201
Fax: (844) 411-6310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 26775 (MD)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence 26775 (MD)

Record details

NPI number1528669322
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 6, 2020
Last updated in NPPESNovember 6, 2020
Certification dateNovember 3, 2020
Mailing address1700 Kingfisher Dr, Frederick, MD 21701-4775

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