Christy Marvin, PHARM D
Individual provider Active NPI Pharmacist · De Witt, NY
NPI 1780907352 · NPPES record last updated Mar 10, 2010
Key facts
- NPI
- 1780907352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 050989 (NY)
- Practice address
- 333 Butternut Dr
Suite 102
De Witt, NY 13214-1981 - Phone
- (315) 424-7027
- Fax
- (315) 424-7638
- NPI assigned
- Mar 10, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050989 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central New York Infusion Services, LLC | Past | Accepting new patients | |
| Central New York Infusion Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 050989 | NY | Yes |
Addresses
Primary practice location
333 Butternut Dr
Suite 102
De Witt, NY 13214-1981
Mailing address
333 Butternut Dr
Suite 102
De Witt, NY 13214-1981
Phone (315) 424-7027
Other providers in De Witt, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.