ANDREW JUSTEN NIELSEN (NPI# 1295384014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295384014 |
| Entity Type | Individual |
| Full Name | ANDREW JUSTEN NIELSEN |
| Credential | PHARMD |
| Practice Address |
153 Main St Owego NY 13827-1779 |
| Mailing Address |
107 Elberta Dr East Northport NY 11731-5712 |
| Practice Telephone | 6076870891 |
| Practice Fax Number | 6076872937 |
| Mailing Telephone | 6312782445 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 065769 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093155913 | Andrew Karl Nielsen | Internal Medicine | 854 W James M Campbell Blvd Ste 403, Columbia, TN 38401-4659 | 2013-06-25 |
| 1609431709 | Andrew James Nielsen | Physician Assistant | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2019-05-03 |
| 1053806703 | Andrew Nielsen | Physical Therapist | 1103 E Boxelder Rd Ste U, Gillette, WY 82718 | 2018-06-26 |
| 1245505858 | Andrew Warren Nielsen | Physician Assistant | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2012-03-14 |
| Street Address |
153 MAIN ST |
| City | OWEGO |
| State | NY |
| Zip Code | 13827-1779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811029 | Tyler Ronald Windhausen | Pharmacist | 153 Main St, Owego, NY 13827-1779 | 2020-11-05 |
| 1457856767 | James Michael Kugler | Pharmacist | 153 Main St, Owego, NY 13827 | 2018-03-28 |
| 1942725262 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 153 Main St, Owego, NY 13827-1779 | 2017-08-08 |
| 1679922736 | Sarah Zafar | Pharmacist | 153 Main St, Owego, NY 13827-1779 | 2016-06-09 |
| 1275956450 | Pam Bouton | Dentist | 153 Main St, Owego, NY 13827-1579 | 2014-01-24 |
| 1538481148 | Erika N Bronk | Pharmacist | 153 Main St, Owego, NY 13827-1579 | 2010-02-23 |
| 1659549376 | Ruth A Mitchell | Social Worker | 153 Main St, Owego, NY 13827-1579 | 2008-02-15 |
| 1932389301 | Rebecca Marie Vanpatten | Pharmacist | 153 Main St, Owego, NY 13827-1579 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003390451 | Michele Smith Morey | Licensed Practical Nurse | 4476 Rt38, Owego, NY 13827 | 2018-09-21 |
| 1811487259 | Kaitlin Osborne | Specialist/Technologist | 1 Sheldon Guile Blvd, Owego, NY 13827 | 2018-05-11 |
| 1306388244 | Susan Medina | Dental Hygienist | 1062 State Rt 38, Suite 120, Owego, NY 13827 | 2016-11-09 |
| 1063775476 | Kimberly Anne Derouchie | Early Intervention Provider Agency | 1062 Rt. 38, Owego, NY 13827 | 2012-06-20 |
| 1992020713 | Christy Bianconi | Social Worker | 819 S. Salina St., Syracuse, NY 13827 | 2010-04-05 |
| 1578793543 | Donna Marie Delvecchio | Pharmacist | 39 Park Avenue, Owego, NY 13827 | 2009-07-23 |
| 1689827875 | Jennifer Iglthaler | Occupational Therapist | 1695 Glen Allen Road, Owego, NY 13827 | 2008-10-31 |
| 1104079698 | Mary N. Gilfoyle | Speech-Language Pathologist | 1 Christa Mcauliffe Drive, Owego, NY 13827 | 2008-10-28 |
| 1710026042 | Delos Christian Aumock | Dentist | 230 Front St, Owego, NY 13827 | 2007-02-05 |
| 1043357957 | Anthony Owens | Counselor | 8 Lincolnshire Blvd, Owego, NY 13827 | 2007-01-31 |
| Find all providers in zip 13827 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578793543 | Donna Marie Delvecchio | Pharmacist | 39 Park Avenue, Owego, NY 13827 | 2009-07-23 |
| 1144499211 | Elyhia Perez-cruz | Pharmacist | 39 Park St., Owego, NY 13827-1530 | 2008-02-22 |
| 1164602066 | John P Gatto | Pharmacist | 1135 State Route 17c, Owego, NY 13827-4823 | 2007-11-07 |
| 1043811029 | Tyler Ronald Windhausen | Pharmacist | 153 Main St, Owego, NY 13827-1779 | 2020-11-05 |
| 1457856767 | James Michael Kugler | Pharmacist | 153 Main St, Owego, NY 13827 | 2018-03-28 |
| 1205380821 | Eric Field | Pharmacist | 39 Park St, Owego, NY 13827-1530 | 2016-08-11 |
| 1679922736 | Sarah Zafar | Pharmacist | 153 Main St, Owego, NY 13827-1779 | 2016-06-09 |
| 1538481148 | Erika N Bronk | Pharmacist | 153 Main St, Owego, NY 13827-1579 | 2010-02-23 |
| 1467638411 | Patricia C Baron | Pharmacist | 39 Park St, Owego, NY 13827-1530 | 2008-01-20 |
| 1932389301 | Rebecca Marie Vanpatten | Pharmacist | 153 Main St, Owego, NY 13827-1579 | 2007-11-13 |
| Find all providers in OWEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.