Individual provider Active NPI

Marisa Winther, PHARMD

  • Pharmacist
  • Altamont, NY
National Provider Identifier
1053903609
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049340 Issued in NY
Practice address
315 Millingstone Way
Altamont, NY 12009-4004
Phone
(518) 320-0081
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 049340 NY Primary

Addresses

Primary practice location

315 Millingstone Way
Altamont, NY 12009-4004

Mailing address

315 Millingstone Way
Altamont, NY 12009-4004
Phone (518) 320-0081

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ALTAMONT

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

LicenseStateTypeSpecialty
049340NYMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1053903609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MILLINGSTONE WAY",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120094004",
            "telephone_number": "518-320-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MILLINGSTONE WAY",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120094004",
            "telephone_number": "518-320-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTHER",
        "first_name": "MARISA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ALTAMONT",
            "affiliation": "N",
            "address_1": "315 Millingstone Way",
            "city": "Altamont",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120094004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altamont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.