Individual provider Active NPI

Kenneth Paul Moszkowicz, RPH

  • Pharmacist
  • Toledo, OH
National Provider Identifier
1285876755
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03113529 Issued in OH
Practice address
3911 Secor Rd
Toledo, OH 43623-4404
Phone
(419) 472-8027
Fax
(419) 475-0050
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03113529 OH Primary

Addresses

Primary practice location

3911 Secor Rd
Toledo, OH 43623-4404

Mailing address

3911 Secor Rd
Toledo, OH 43623-4404
Phone (419) 472-8027

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
03113529OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1285876755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234404",
            "telephone_number": "419-472-8027",
            "fax_number": "419-475-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234404",
            "telephone_number": "419-472-8027",
            "fax_number": "419-475-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSZKOWICZ",
        "first_name": "KENNETH",
        "middle_name": "PAUL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03113529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.