Active NPI
Michael Thomas Kowalski, RPH
- Pharmacist
- Latham, NY
National Provider Identifier
1356510218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048613
- Practice address
- 579 Troy Schenectady Rd
Latham, NY 12110-2806 - Phone
- (518) 783-4397
- NPI assigned
- Feb 25, 2008
- Last updated
- Feb 25, 2008
- 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 | 048613 | NY | Primary |
Addresses
Primary practice location
579 Troy Schenectady Rd
Latham, NY 12110-2806
Mailing address
1146 Dianne CT
Schenectady, NY 12303-3300
Phone (518) 952-4676
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
| License | State | Type | Specialty |
|---|---|---|---|
| 048613 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1356510218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 DIANNE CT",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123033300",
"telephone_number": "518-952-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 TROY SCHENECTADY RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102806",
"telephone_number": "518-783-4397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-25",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.