Individual provider Active NPI

Evan Alexander Kowal, DOCTOR OF PHARMACY

  • Pharmacist
  • Rochester, NY
National Provider Identifier
1245410273
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051824 Issued in NY
Practice address
1433 Culver Rd
Rochester, NY 14609-4235
Phone
(585) 288-3000
Fax
(585) 235-4498
NPI assigned
Nov 7, 2007
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051824 NY Primary

Addresses

Primary practice location

1433 Culver Rd
Rochester, NY 14609-4235

Mailing address

1433 Culver Rd
Rochester, NY 14609-4235
Phone (585) 288-3000

Other names 1

  • Evan Alexander Fleischman Former name

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

LicenseStateTypeSpecialty
051824NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1245410273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 CULVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146094235",
            "telephone_number": "585-288-3000",
            "fax_number": "585-235-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 CULVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146094235",
            "telephone_number": "585-288-3000",
            "fax_number": "585-235-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWAL",
        "first_name": "EVAN",
        "middle_name": "ALEXANDER",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "051824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVAN",
            "last_name": "FLEISCHMAN",
            "middle_name": "ALEXANDER",
            "credential": "DOCTOR OF PHAMACY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.