Active NPI
Ronald Pawlak, RPH
- Pharmacist
- Harper Woods, MI
National Provider Identifier
1013353507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302023624
- Practice address
- 20352 Harper Ave
Harper Woods, MI 48225-1643 - Phone
- (313) 884-5400
- Fax
- (313) 884-0011
- NPI assigned
- May 11, 2013
- 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 | 5302023624 | MI | Primary |
Addresses
Primary practice location
20352 Harper Ave
Harper Woods, MI 48225-1643
Mailing address
34379 Fontana Dr
Sterling Heights, MI 48312-5775
Phone (586) 264-0391
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302023624 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368230400000",
"number": "1013353507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34379 FONTANA DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483125775",
"telephone_number": "586-264-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20352 HARPER AVE",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251643",
"telephone_number": "313-884-5400",
"fax_number": "313-884-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLAK",
"first_name": "RONALD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-11",
"last_updated": "2013-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302023624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harper Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.