IndividualActive
Mark Kostelnik, PHARMD, BCPS
NPI 1013220730 · Compounded Sterile Preparations Pharmacist · Fayetteville, AR
Provider details
- NPI number
- 1013220730
- Entity type
- Individual
- Primary specialty
- Compounded Sterile Preparations PharmacistPharmacy Service Providers
- Credential
- PHARMD, BCPS
- Sex
- Male
- Sole proprietor
- No
- License
- 14707 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
375 E Millsap Rd Ste 3
Fayetteville, AR 72703-6289
Phone: (918) 809-7822
Fax: (479) 445-6032
Street-level locationGet directions
Mailing address
375 E Millsap Rd Ste 3
Fayetteville, AR 72703-6289
Registry dates
- Enumerated
- 2010-07-22
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.