Individual provider Active NPI

Alexander Thomas Zwierko

  • Pharmacist
  • Katy, TX
National Provider Identifier
1255681185
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
52290 Issued in TX
Practice address
411 S Mason Rd
Katy, TX 77450-2435
Phone
(281) 579-0910
NPI assigned
Sep 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52290 TX Primary

Addresses

Primary practice location

411 S Mason Rd
Katy, TX 77450-2435

Mailing address

3531 Yasmine Ranch Dr
Katy, TX 77494-6907
Phone (832) 437-6526

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
52290TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1255681185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 YASMINE RANCH DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946907",
            "telephone_number": "832-437-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502435",
            "telephone_number": "281-579-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWIERKO",
        "first_name": "ALEXANDER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.