Robert Lee Andrews Jr.
Individual provider Active NPI Pharmacist · Merrillville, IN
NPI 1043939713 · NPPES record last updated Feb 3, 2023
Key facts
- NPI
- 1043939713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051291698 (IL)
- Practice address
- 1340 W 90TH Place Apt. 104
Merrillville, IN 46410-6755 - Phone
- (773) 563-3869
- NPI assigned
- Aug 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051291698 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051291698 | IL | Yes |
Addresses
Primary practice location
1340 W 90TH Place Apt. 104
Merrillville, IN 46410-6755
Mailing address
6401 166TH St
Tinley Park, IL 60477-1835
Phone (773) 563-3869
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.