Active NPI
Marta Katarzyna Lachcik, RPH
- Pharmacist
- Manchester, CT
National Provider Identifier
1124485867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT0007896
- Practice address
- 587 Middle Tpke E
Manchester, CT 06040-3731 - Phone
- (860) 288-2119
- Fax
- (860) 474-4644
- NPI assigned
- Jan 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT0007896 | CT | Primary |
| Pharmacist | 183500000X | PH21862 | MA |
Addresses
Primary practice location
587 Middle Tpke E
Manchester, CT 06040-3731
Mailing address
587 Middle Tpke E
Manchester, CT 06040-3731
Phone (860) 288-2119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCT0007896 | Other | CT | PHARMACIST STATE LISCENSE NUMBER |
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 |
|---|---|---|---|
| PCT0007896 | CT | MD | Pharmacist |
| PH21862 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Resources, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Windsor, CT
- NPI 1215979810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1124485867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "587 MIDDLE TPKE E",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403731",
"telephone_number": "860-288-2119",
"fax_number": "860-474-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 MIDDLE TPKE E",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403731",
"telephone_number": "860-288-2119",
"fax_number": "860-474-4644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACHCIK",
"first_name": "MARTA",
"middle_name": "KATARZYNA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT0007896",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH21862",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST STATE LISCENSE NUMBER",
"identifier": "PCT0007896",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.