Active NPI
Henrietta V. Nowakowski, RPH
- Pharmacist
- Dearborn Heights, MI
National Provider Identifier
1104968262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16874
- Practice address
- 23354 Longview St
Dearborn Heights, MI 48127-2366 - Phone
- (313) 565-7625
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- 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 | 16874 | MI | Primary |
Addresses
Primary practice location
23354 Longview St
Dearborn Heights, MI 48127-2366
Mailing address
23354 Longview St
Dearborn Heights, MI 48127-2366
Phone (313) 565-7625
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 |
|---|---|---|---|
| 16874 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104968262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23354 LONGVIEW ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272366",
"telephone_number": "313-565-7625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23354 LONGVIEW ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272366",
"telephone_number": "313-565-7625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAKOWSKI",
"first_name": "HENRIETTA",
"middle_name": "V.",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "16874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.