Active NPI
Ryan Kazmierczak, PHARMD
- Pharmacist
- Kissimmee, FL
National Provider Identifier
1164037834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS42488
- Practice address
- 395 Cypress Pkwy
Kissimmee, FL 34759-3326 - Phone
- (765) 412-1026
- NPI assigned
- Sep 10, 2020
- 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 | PS42488 | FL | Primary |
Addresses
Primary practice location
395 Cypress Pkwy
Kissimmee, FL 34759-3326
Mailing address
2306 Blue Sapphire Cir
Orlando, FL 32837-6421
Phone (765) 412-1026
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.9509@store.walgreens.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| PS42488 | FL | MD | Pharmacist |
Interoperability endpoints
- rkazmierczak87037@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1164037834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 BLUE SAPPHIRE CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376421",
"telephone_number": "765-412-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 CYPRESS PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347593326",
"telephone_number": "765-412-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZMIERCZAK",
"first_name": "RYAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42488",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.9509@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "Pharmacy email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "395 Cypress Pkwy",
"city": "Kissimmee",
"state": "FL",
"country_code": "US",
"postal_code": "347593326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.