Individual provider Active NPI

Mike Henry Swiersz

  • Pharmacist
  • Danville, IL
National Provider Identifier
1083937106
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051032768 Issued in IL
Practice address
2721 N Vermilion St
Danville, IL 61832-1493
Phone
(217) 443-1514
NPI assigned
Mar 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051032768 IL Primary

Addresses

Primary practice location

2721 N Vermilion St
Danville, IL 61832-1493

Mailing address

1313 Fairway Dr
Danville, IL 61832-1259
Phone (217) 431-6006

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

LicenseStateTypeSpecialty
051032768ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1083937106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 FAIRWAY DR",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321259",
            "telephone_number": "217-431-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321493",
            "telephone_number": "217-443-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIERSZ",
        "first_name": "MIKE",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051032768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.