Active NPI
Clare Dyczkowski, PHARMD, CNSC, RDN
- Oncology Pharmacist
- Mayfield Heights, OH
National Provider Identifier
1336803527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 03438954
- Practice address
- 6780 Mayfield Rd
Mayfield Heights, OH 44124-2203 - Phone
- (440) 312-7073
- NPI assigned
- Oct 25, 2021
- Last updated
- Oct 25, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 03438954 | OH | Primary |
Addresses
Primary practice location
6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Mailing address
373 S Prospect St
Medina, OH 44256-2346
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03438954 | OH | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1336803527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 S PROSPECT ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6780 MAYFIELD RD",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441242203",
"telephone_number": "440-312-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYCZKOWSKI",
"first_name": "CLARE",
"name_prefix": "Dr.",
"credential": "PHARMD, CNSC, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "OH",
"license": "03438954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.