IndividualActive
Mark Debolt
NPI 1659671154 · Pharmacist · Canon City, CO
Mark Debolt is a Pharmacist provider in Canon City, CO (NPI 1659671154).
Provider details
- NPI number
- 1659671154
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 16607 (CO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(82/100 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
1414 Main St
Canon City, CO 81212-3906
Phone: (719) 275-7511
Fax: (719) 275-7161
Street-level locationGet directions
Mailing address
1414 Main St
Canon City, CO 81212-3906
Registry dates
- Enumerated
- 2010-10-30
- Last updated
- 2010-10-30
Frequently asked questions
- What is Mark Debolt's NPI number?
- Mark Debolt's National Provider Identifier (NPI) is 1659671154, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Debolt's specialty?
- Mark Debolt is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Mark Debolt located?
- Mark Debolt's practice location on file with NPPES is 1414 Main St, Canon City, CO 81212-3906.
- What is Mark Debolt's phone number?
- The practice phone number listed in the NPPES registry for Mark Debolt is (719) 275-7511.
- Is Mark Debolt's NPI active?
- Yes — Mark Debolt's NPI (1659671154) is active in the NPPES registry as of the last update on 2010-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.