Active NPI
Kristin Nowakowski, PHARM.D.
- Pharmacist
- Huntington, NY
National Provider Identifier
1184163438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 059029-1
- Practice address
- 789 Park Ave
Huntington, NY 11743-3912 - Phone
- (516) 806-5943
- Fax
- (631) 683-4940
- NPI assigned
- Feb 20, 2017
- Last updated
- Feb 20, 2017
- 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 | 059029-1 | NY | Primary |
Addresses
Primary practice location
789 Park Ave
Huntington, NY 11743-3912
Mailing address
12015 E 46TH Ave
Suite 650
Denver, CO 80239-3116
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 |
|---|---|---|---|
| 059029-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1184163438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12015 E 46TH AVE",
"address_2": "SUITE 650",
"city": "DENVER",
"state": "CO",
"postal_code": "802393116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 PARK AVE",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433912",
"telephone_number": "516-806-5943",
"fax_number": "631-683-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAKOWSKI",
"first_name": "KRISTIN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-20",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "059029-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.