Individual provider Active NPI

Andrew Mlinarcik

  • Pharmacist
  • Staunton, VA
National Provider Identifier
1396283594
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202213150 Issued in VA
Practice address
850 Statler Blvd
Staunton, VA 24401-4880
Phone
(540) 885-9866
NPI assigned
Feb 8, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202213150 VA Primary

Addresses

Primary practice location

850 Statler Blvd
Staunton, VA 24401-4880

Mailing address

613 Dices Spring Rd
Weyers Cave, VA 24486-2308
Phone (540) 292-8971

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
0202213150VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1396283594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 DICES SPRING RD",
            "city": "WEYERS CAVE",
            "state": "VA",
            "postal_code": "244862308",
            "telephone_number": "540-292-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 STATLER BLVD",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014880",
            "telephone_number": "540-885-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLINARCIK",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202213150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.