Provider Demographics
NPI:1871841866
Name:WINCHELL, ANDREW JEFFREY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JEFFREY
Last Name:WINCHELL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-1744
Mailing Address - Country:US
Mailing Address - Phone:518-793-0514
Mailing Address - Fax:518-793-0642
Practice Address - Street 1:891 ROUTE 9
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-1744
Practice Address - Country:US
Practice Address - Phone:518-793-0514
Practice Address - Fax:518-793-0642
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057256183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY057256OtherNEW YORK STATE PHARMACY LICENSE NUMBER