Individual provider Active NPI

Andrew George Marlow, CPHT

  • Pharmacy Technician
  • Massena, NY
National Provider Identifier
1164189189
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
10078556 Issued in NY
Practice address
87 Main St
Massena, NY 13662-1934
Phone
(315) 769-3484
Fax
(315) 769-2630
NPI assigned
Nov 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 10078556 NY Primary

Addresses

Primary practice location

87 Main St
Massena, NY 13662-1934

Mailing address

49 W Orvis St Apt 4
Massena, NY 13662-1891
Phone (315) 296-8224

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.g.marlow@riteaid.con Other

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
10078556NYMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1164189189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W ORVIS ST APT 4",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621891",
            "telephone_number": "315-296-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MAIN ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621934",
            "telephone_number": "315-769-3484",
            "fax_number": "315-769-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLOW",
        "first_name": "ANDREW",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NY",
            "license": "10078556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.g.marlow@riteaid.con",
            "affiliation": "N",
            "endpointDescription": "87 Main St",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Riteaid",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Riteaid",
            "address_1": "87 Main St",
            "city": "Massena",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136621934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.