Individual provider Active NPI

David Wojciak

  • Pharmacist
  • Brooklyn, OH
National Provider Identifier
1356004022
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03212801 Issued in OH
Practice address
6300 Biddulph Rd
Brooklyn, OH 44144-3347
Phone
(216) 739-4125
NPI assigned
Oct 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03212801 OH Primary

Addresses

Primary practice location

6300 Biddulph Rd
Brooklyn, OH 44144-3347

Mailing address

3846 Boxelder Dr
Brecksville, OH 44141-2580

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

LicenseStateTypeSpecialty
03212801OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riser Foods Company PastSince Oct 24, 2021 Accepting new patients
Riser Foods Company PastSince Oct 24, 2021 Accepting new patients

Organizations & group practices 2

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1356004022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3846 BOXELDER DR",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 BIDDULPH RD",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443347",
            "telephone_number": "216-739-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJCIAK",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03212801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.