Active NPI
Andrea Rose Maggioli, PHARM D
- Pharmacist
- Avon, NY
National Provider Identifier
1033689138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64991
- Practice address
- 277 E Main St
Avon, NY 14414-1423 - Phone
- (585) 226-4500
- NPI assigned
- Nov 30, 2018
- Last updated
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64991 | NY | Primary |
Addresses
Primary practice location
277 E Main St
Avon, NY 14414-1423
Mailing address
277 E Main St
Avon, NY 14414-1423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64991 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1033689138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 E MAIN ST",
"city": "AVON",
"state": "NY",
"postal_code": "144141423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 E MAIN ST",
"city": "AVON",
"state": "NY",
"postal_code": "144141423",
"telephone_number": "585-226-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGIOLI",
"first_name": "ANDREA",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "64991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, NY
- Jennifer J. Dotterweich, OD, PLLC
- Wena Christine Klein, LMT
- Alexis Klintworth, RN
- Lattimore of Geneseo Physical Therapy PC (Avon Physical Therapy)
- Donyelle M Losee, DPT
- Wesley Herrick Marean III
- Caitlin McCauley, ATC
- Kelli Lynn McKenna-D'Ambrosio, M.A., CCC-SLP
- Nicole P Montesano, R.N.
- Lynn Marie Northup, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.