Individual provider Active NPI

John Oscar Lawatsch, RPH

  • Pharmacist
  • Newark, NY
National Provider Identifier
1275865214
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
038798 Issued in NY
Practice address
105 W Miller St
Suite B
Newark, NY 14513-1422
Phone
(315) 331-6128
Fax
(315) 331-6289
NPI assigned
Feb 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 038798 NY Primary

Addresses

Primary practice location

105 W Miller St
Suite B
Newark, NY 14513-1422

Mailing address

105 W Miller St
Suite B
Newark, NY 14513-1422
Phone (315) 331-6128

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
038798NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1275865214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W MILLER ST",
            "address_2": "SUITE B",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131422",
            "telephone_number": "315-331-6128",
            "fax_number": "315-331-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MILLER ST",
            "address_2": "SUITE B",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131422",
            "telephone_number": "315-331-6128",
            "fax_number": "315-331-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWATSCH",
        "first_name": "JOHN",
        "middle_name": "OSCAR",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "038798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.