Active NPI
Maria Magdalena Kowalczuk, RPH
- Pharmacist
- Noblesville, IN
National Provider Identifier
1184034829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26019507A
- Practice address
- 17000 Mercantile Blvd
Meijer 230
Noblesville, IN 46060-3941 - Phone
- (317) 774-7733
- NPI assigned
- May 3, 2014
- Sex
- Female
- 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 | 26019507A | IN | Primary |
Addresses
Primary practice location
17000 Mercantile Blvd
Meijer 230
Noblesville, IN 46060-3941
Mailing address
17291 Wetherington Dr
Westfield, IN 46074-5513
Phone (317) 804-5855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26019507A | Other | IN | PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| 26019507A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399075200000",
"number": "1184034829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17291 WETHERINGTON DR",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460745513",
"telephone_number": "317-804-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 MERCANTILE BLVD",
"address_2": "MEIJER 230",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460603941",
"telephone_number": "317-774-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALCZUK",
"first_name": "MARIA",
"middle_name": "MAGDALENA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-03",
"last_updated": "2014-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26019507A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "26019507A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.