Individual provider Active NPI

Kristopher Marchewka, PHARM.D.

  • Pharmacist
  • Monongahela, PA
National Provider Identifier
1144774696
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP450214 Issued in PA
Practice address
175 W Main St
Monongahela, PA 15063-2305
Phone
(724) 258-4545
NPI assigned
Aug 12, 2016
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP450214 PA Primary

Addresses

Primary practice location

175 W Main St
Monongahela, PA 15063-2305

Mailing address

365 Fruitwood Dr
Bethel Park, PA 15102-1057

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

LicenseStateTypeSpecialty
RP450214PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
G & R Pharmacy Inc Current Accepting new patients
G & R Pharmacy Inc Current Accepting new patients
Span & Taylor Drug Co PastSince Mar 31, 2024 Accepting new patients
Span & Taylor Drug Co Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1144774696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 FRUITWOOD DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W MAIN ST",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150632305",
            "telephone_number": "724-258-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHEWKA",
        "first_name": "KRISTOPHER",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP450214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.