Active NPI
Elliot Charles Marino, PHARM D
- Pharmacist
- Olean, NY
National Provider Identifier
1225595069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 059200-1
- Practice address
- 1104 W Henley St
Olean, NY 14760-3333 - Phone
- (585) 297-3996
- NPI assigned
- Feb 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 78417 | CA | |
| Pharmacist | 183500000X | 449067 | PA | |
| Pharmacist | 183500000X | 059200-1 | NY | Primary |
Addresses
Primary practice location
1104 W Henley St
Olean, NY 14760-3333
Mailing address
1104 W Henley St
Olean, NY 14760-3333
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 |
|---|---|---|---|
| 78417 | CA | MD | Pharmacist |
| 059200-1 | NY | MD | Pharmacist |
| 449067 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1225595069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 W HENLEY ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147603333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 W HENLEY ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147603333",
"telephone_number": "585-297-3996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "ELLIOT",
"middle_name": "CHARLES",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78417",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "449067",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059200-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.