Individual provider Active NPI

Paul Joseph Smolenski, BS

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1093997512
Registry record updated Mar 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
038342 Issued in NY
Practice address
462 5TH Ave
Brooklyn, NY 11215-4004
Phone
(718) 499-7500
NPI assigned
Nov 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 038342 NY Primary

Addresses

Primary practice location

462 5TH Ave
Brooklyn, NY 11215-4004

Mailing address

462 5TH Ave
Brooklyn, NY 11215-4004
Phone (718) 499-7500

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
038342NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647129600000",
    "number": "1093997512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154004",
            "telephone_number": "718-499-7500",
            "fax_number": "718-499-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154004",
            "telephone_number": "718-499-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLENSKI",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "038342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.