Active NPI
Micah John Bialaszewski
- Pharmacist
- Farmington, NY
National Provider Identifier
1053798355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057422
- Practice address
- 1259 Route 332
Farmington, NY 14425-8915 - Phone
- (585) 742-1910
- Fax
- (585) 742-2809
- NPI assigned
- May 6, 2015
- 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 | 057422 | NY | Primary |
Addresses
Primary practice location
1259 Route 332
Farmington, NY 14425-8915
Mailing address
1259 Route 332
Farmington, NY 14620
Phone (585) 742-1910
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057422 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1053798355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 ROUTE 332",
"city": "FARMINGTON",
"state": "NY",
"postal_code": "14620",
"telephone_number": "585-742-1910",
"fax_number": "585-742-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 ROUTE 332",
"city": "FARMINGTON",
"state": "NY",
"postal_code": "144258915",
"telephone_number": "585-742-1910",
"fax_number": "585-742-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIALASZEWSKI",
"first_name": "MICAH",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-06",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.