Active NPI
Roman Reznik, PHARMD
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1144548595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP442872
- Practice address
- 6515 Castor Ave
Philadelphia, PA 19149-2708 - Phone
- (215) 824-2700
- NPI assigned
- May 10, 2010
- Sex
- Male
- Sole proprietor
- No
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 | RP442872 | PA | Primary |
Addresses
Primary practice location
6515 Castor Ave
Philadelphia, PA 19149-2708
Mailing address
1734A Rachael St
Philadelphia, PA 19115-4272
Phone (267) 984-8575
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP442872 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1144548595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1734A RACHAEL ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191154272",
"telephone_number": "267-984-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6515 CASTOR AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492708",
"telephone_number": "215-824-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZNIK",
"first_name": "ROMAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-10",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP442872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.