Active NPI
Marvin Knoeck Jr., R.PH
- Oncology Pharmacist
- Rochester, NY
National Provider Identifier
1255372918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 037296-1
- Practice address
- 601 Elmwood Ave
Box 638
Rochester, NY 14642-0001 - Phone
- (585) 275-5170
- Fax
- (585) 292-1701
- NPI assigned
- Jun 10, 2006
- Last updated
- Jul 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 037296-1 | NY | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Box 638
Rochester, NY 14642-0001
Mailing address
42 Sunderland TRL
Rochester, NY 14624-4922
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037296-1 | NY | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1255372918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 SUNDERLAND TRL",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146244922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX 638",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-5170",
"fax_number": "585-292-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOECK",
"first_name": "MARVIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "NY",
"license": "037296-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.