Active NPI
Daniel A Nawrocki Jr., R.PH.
- Pharmacist
- Erie, PA
National Provider Identifier
1134447956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP036073L
- Practice address
- 1700 Peach St
Suite 104
Erie, PA 16501-2134 - Phone
- (814) 877-6464
- Fax
- (814) 453-2440
- NPI assigned
- May 5, 2010
- 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 | RP036073L | PA | Primary |
Addresses
Primary practice location
1700 Peach St
Suite 104
Erie, PA 16501-2134
Mailing address
1700 Peach St
Suite 104
Erie, PA 16501-2134
Phone (814) 877-6464
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 |
|---|---|---|---|
| RP036073L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1134447956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 PEACH ST",
"address_2": "SUITE 104",
"city": "ERIE",
"state": "PA",
"postal_code": "165012134",
"telephone_number": "814-877-6464",
"fax_number": "814-453-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 PEACH ST",
"address_2": "SUITE 104",
"city": "ERIE",
"state": "PA",
"postal_code": "165012134",
"telephone_number": "814-877-6464",
"fax_number": "814-453-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWROCKI",
"first_name": "DANIEL",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-05",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP036073L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.