Active NPI
Robert Francis Kwasniewski, PHARMD, R.PH.
- Pharmacist
- Webster, SD
National Provider Identifier
1245348788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4905
- Practice address
- 701 Main St
Webster, SD 57274-1305 - Phone
- (605) 345-3351
- Fax
- (605) 345-3352
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 4905 | SD | Primary |
Addresses
Primary practice location
701 Main St
Webster, SD 57274-1305
Mailing address
1015 W 7TH St
Webster, SD 57274-1001
Phone (605) 345-4840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4905 | Other | SD | SD PHARMACIST LICENSE |
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4905 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kwasniewski Enterprises Inc | Current | Accepting new patients |
Locations
701 Main St
Webster, SD 57274
Phone (605) 345-3351
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245348788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 W 7TH ST",
"city": "WEBSTER",
"state": "SD",
"postal_code": "572741001",
"telephone_number": "605-345-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MAIN ST",
"city": "WEBSTER",
"state": "SD",
"postal_code": "572741305",
"telephone_number": "605-345-3351",
"fax_number": "605-345-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWASNIEWSKI",
"first_name": "ROBERT",
"middle_name": "FRANCIS",
"credential": "PHARMD, R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "4905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SD PHARMACIST LICENSE",
"identifier": "4905",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, SD
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.