Active NPI
Marilynn O'Dell
- Pharmacist
- Hudson, NY
National Provider Identifier
1780906073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31843
- Practice address
- 617 Warren St
Hudson, NY 12534-2813 - Phone
- (518) 828-9469
- NPI assigned
- Feb 27, 2010
- Last updated
- Feb 27, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31843 | NY | Primary |
Addresses
Primary practice location
617 Warren St
Hudson, NY 12534-2813
Mailing address
1146 River Rd
Troy, NY 12182-1229
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 |
|---|---|---|---|
| 31843 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267228800000",
"number": "1780906073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 RIVER RD",
"city": "TROY",
"state": "NY",
"postal_code": "121821229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 WARREN ST",
"city": "HUDSON",
"state": "NY",
"postal_code": "125342813",
"telephone_number": "518-828-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DELL",
"first_name": "MARILYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-27",
"last_updated": "2010-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "31843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.