Active NPI
Jeffrey Arno Marks, R.PH.
- Pharmacist
- Friendship, NY
National Provider Identifier
1821142894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042262
- Practice address
- 9 West Main St.
Friendship, NY 14739 - Phone
- (585) 973-3496
- Fax
- (585) 973-3631
- NPI assigned
- Jan 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 042262 | NY | Primary |
Addresses
Primary practice location
9 West Main St.
Friendship, NY 14739
Mailing address
9 West Main St.
PO Box 128
Friendship, NY 14739
Phone (585) 973-3496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01462275 | Medicaid | NY |
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
Organizations & group practices 1
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": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821142894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 WEST MAIN ST.",
"address_2": "PO BOX 128",
"city": "FRIENDSHIP",
"state": "NY",
"postal_code": "14739",
"telephone_number": "585-973-3496",
"fax_number": "585-973-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 WEST MAIN ST.",
"city": "FRIENDSHIP",
"state": "NY",
"postal_code": "14739",
"telephone_number": "585-973-3496",
"fax_number": "585-973-3631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "JEFFREY",
"middle_name": "ARNO",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01462275",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Friendship, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.