Individual provider Active NPI

Ana Kosakowski

  • Pharmacist
  • Avon, OH
National Provider Identifier
1164446647
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-3-23938 Issued in OH
Practice address
36711 American Way
Pharmacy Dept
Avon, OH 44011-4045
Phone
(440) 937-2350
Fax
(440) 937-2355
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-3-23938 OH Primary

Addresses

Primary practice location

36711 American Way
Pharmacy Dept
Avon, OH 44011-4045

Mailing address

36711 American Way
Pharmacy Dept
Avon, OH 44011
Phone (440) 937-2350

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164446647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36711 AMERICAN WAY",
            "address_2": "PHARMACY DEPT",
            "city": "AVON",
            "state": "OH",
            "postal_code": "44011",
            "telephone_number": "440-937-2350",
            "fax_number": "440-937-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36711 AMERICAN WAY",
            "address_2": "PHARMACY DEPT",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114045",
            "telephone_number": "440-937-2350",
            "fax_number": "440-937-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSAKOWSKI",
        "first_name": "ANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-23938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.