Individual provider Active NPI

Andra Marie Lowe

  • Critical Care Pharmacist
  • Saint Cloud, FL
National Provider Identifier
1083474134
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care PharmacistTaxonomy code 1835C0205X
License
PS41033 Issued in FL
Practice address
494 Ponderosa Dr
Saint Cloud, FL 34769-1656
Phone
(407) 593-1600
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pharmacist 1835C0205X PS41033 FL Primary

Addresses

Primary practice location

494 Ponderosa Dr
Saint Cloud, FL 34769-1656

Mailing address

494 Ponderosa Dr
Saint Cloud, FL 34769-1656

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

State licenses

LicenseStateTypeSpecialty
PS41033FLMDCritical Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer RX Pharmacy LLC CurrentSince Mar 24, 2024 Accepting new patients
Pioneer RX Pharmacy LLC CurrentSince Mar 24, 2024 Accepting new patients

Locations

494 Ponderosa Dr
Saint Cloud, FL 34769
Phone (407) 593-1600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1083474134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 PONDEROSA DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 PONDEROSA DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691656",
            "telephone_number": "407-593-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "ANDRA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "FL",
            "license": "PS41033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.