Individual provider Active NPI

Richard Casey Kowalski, PHARMD

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1255717195
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH72855 Issued in CA
Practice address
611 S Kingsley Dr
Los Angeles, CA 90005-2319
Phone
(213) 201-1437
Fax
(213) 201-1437
NPI assigned
Aug 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH72855 CA Primary

Addresses

Primary practice location

611 S Kingsley Dr
Los Angeles, CA 90005-2319

Mailing address

611 S Kingsley Dr
Los Angeles, CA 90005-2319
Phone (310) 435-8892

Other practice location 1

1043 Elm Ave Ste 302
Long Beach, CA 90813-3295
Phone (562) 247-7740

Other practice location 2

1679 E 120th St
Los Angeles, CA 90059-3025
Phone (323) 329-9700

Other practice location 3

3743 S La Brea Ave
Los Angeles, CA 90016-5309
Phone (213) 201-5000

Other practice location 4

3743 S La Brea Ave
Los Angeles, CA 90016-5309
Phone (323) 329-9900

Other practice location 5

5901 W Olympic Blvd Ste 310
Los Angeles, CA 90036-4664
Phone (323) 215-1725

Other practice location 6

7531 Santa Monica Blvd Ste 100
West Hollywood, CA 90046-6458

Other practice location 7

7531 Santa Monica Blvd Ste 201
West Hollywood, CA 90046-6458
Phone (213) 201-1437

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

LicenseStateTypeSpecialty
RPH72855CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Apla Health & Wellness PastSince Feb 4, 2024 Accepting new patients
Walgreen Co Past Accepting new patients
Apla Health & Wellness Past Accepting new patients
Walgreen Co Past Accepting new patients

Organizations & group practices 4

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1255717195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S KINGSLEY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052319",
            "telephone_number": "310-435-8892",
            "fax_number": "213-201-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S KINGSLEY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052319",
            "telephone_number": "213-201-1437",
            "fax_number": "213-201-1437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1043 Elm Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133295",
            "country_code": "US",
            "telephone_number": "562-247-7740",
            "fax_number": "213-201-1437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1679 E 120th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900593025",
            "country_code": "US",
            "telephone_number": "323-329-9700",
            "fax_number": "213-201-1437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3743 S La Brea Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900165309",
            "country_code": "US",
            "telephone_number": "213-201-5000",
            "fax_number": "213-201-1437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3743 S La Brea Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900165309",
            "country_code": "US",
            "telephone_number": "323-329-9900",
            "fax_number": "213-201-1437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 W Olympic Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900364664",
            "country_code": "US",
            "telephone_number": "323-215-1725",
            "fax_number": "213-201-1437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7531 Santa Monica Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900466458",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7531 Santa Monica Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900466458",
            "country_code": "US",
            "telephone_number": "213-201-1437",
            "fax_number": "213-201-1437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "RICHARD",
        "middle_name": "CASEY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH72855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.