Active NPI
Mary Ando
- Pharmacist
- Bala Cynwyd, PA
National Provider Identifier
1417725912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP457811
- Practice address
- 260 Rock Hill Rd
Bala Cynwyd, PA 19004-2134 - Phone
- (610) 667-5290
- NPI assigned
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP457811 | PA | Primary |
Addresses
Primary practice location
260 Rock Hill Rd
Bala Cynwyd, PA 19004-2134
Mailing address
726 Market St Unit 404
Philadelphia, PA 19106-2307
Phone (609) 707-6636
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP457811 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy LLC | Current | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Locations
260 Rock Hill Rd
Bala Cynwyd, PA 19004
Phone (610) 667-5290
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": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1417725912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 MARKET ST UNIT 404",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191062307",
"telephone_number": "609-707-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 ROCK HILL RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042134",
"telephone_number": "610-667-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDO",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP457811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.