Active NPI
Damian Jaruszewski
- Pharmacist
- Gardner, MA
National Provider Identifier
1336730340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH237440
- Practice address
- 314 Main St
Gardner, MA 01440-2902 - Phone
- (978) 632-1760
- NPI assigned
- Feb 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH237440 | MA | Primary |
Addresses
Primary practice location
314 Main St
Gardner, MA 01440-2902
Mailing address
35 Harrington Ave Unit 1404
Shrewsbury, MA 01545-5278
Phone (508) 762-2159
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH237440 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1336730340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 HARRINGTON AVE UNIT 1404",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015455278",
"telephone_number": "508-762-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 MAIN ST",
"city": "GARDNER",
"state": "MA",
"postal_code": "014402902",
"telephone_number": "978-632-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARUSZEWSKI",
"first_name": "DAMIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH237440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardner, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.