Active NPI
Caitlin Mary Jackowiak
- Pharmacist
- Cheektowaga, NY
National Provider Identifier
1225463524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057191
- Practice address
- 1031 Cleveland Dr
Cheektowaga, NY 14225-1221 - Phone
- (716) 632-4888
- NPI assigned
- Sep 5, 2013
- 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 | 057191 | NY | Primary |
Addresses
Primary practice location
1031 Cleveland Dr
Cheektowaga, NY 14225-1221
Mailing address
1031 Cleveland Dr
Cheektowaga, NY 14225-1221
Phone (716) 632-4888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057191 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Rutowski Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Cheektowaga, NY
- NPI 1225102759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1225463524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 CLEVELAND DR",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142251221",
"telephone_number": "716-632-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 CLEVELAND DR",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142251221",
"telephone_number": "716-632-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKOWIAK",
"first_name": "CAITLIN",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.