Active NPI
Brian Pawlicki, PHARMD
- Pharmacist
- Sterling, VA
National Provider Identifier
1376142745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202214377
- Practice address
- 21399 Epicerie PLZ
Sterling, VA 20164-6603 - Phone
- (571) 665-5025
- NPI assigned
- Oct 18, 2020
- Last updated
- Oct 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202214377 | VA | Primary |
Addresses
Primary practice location
21399 Epicerie PLZ
Sterling, VA 20164-6603
Mailing address
21439 Falling Rock Ter
Broadlands, VA 20148-4059
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 |
|---|---|---|---|
| 0202214377 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602979200000",
"number": "1376142745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21439 FALLING ROCK TER",
"city": "BROADLANDS",
"state": "VA",
"postal_code": "201484059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21399 EPICERIE PLZ",
"city": "STERLING",
"state": "VA",
"postal_code": "201646603",
"telephone_number": "571-665-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLICKI",
"first_name": "BRIAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-18",
"last_updated": "2020-10-18",
"certification_date": "2020-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202214377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.