Mariem A Andrawis

Primary specialty

PharmacistTaxonomy code 183500000X

License

045916 Issued in NY

Practice address

459 Broadway
New York, NY 10013-3001

Phone

(212) 219-2658

NPI assigned

Feb 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Duane Reade

  • Pharmacy
  • New York, NY
  • NPI 1215186515
  NPD
• Duane Reade

  • Pharmacy
  • New York, NY
  • NPI 1548914351
  NPD (past)

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1881916708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 ANNADALE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124008",
            "telephone_number": "347-562-4964",
            "fax_number": "647-562-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133001",
            "telephone_number": "212-219-2658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103102516",
            "country_code": "US",
            "telephone_number": "718-727-0500 x10",
            "fax_number": "718-727-8006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRAWIS",
        "first_name": "MARIEM",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "045916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3358783",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Odette Andrade, RN
• Stephanie K. Andrade, APRN, FNP-BC
• Susan Stoll Andrade
• Joanne Andrades, MD
• James Andralis, LCAT
• Andre C Stein, DDS and David M. Blank, DDS, LLP
• Reginald A Andre Estime
• Ana Andre
• Clarissa Andre
• Kathleen A Andre, FNP

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.