Active NPI
Christopher Kowalski, PHARM.D.
- Pharmacist
- Grand Rapids, MI
National Provider Identifier
1376918284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5032032355
- Practice address
- 5859 28TH St SE
Grand Rapids, MI 49546-6905 - Phone
- (970) 404-0576
- NPI assigned
- Dec 2, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5032032355 | MI | Primary |
| Pharmacist | 183500000X | 16677 | CO |
Addresses
Primary practice location
5859 28TH St SE
Grand Rapids, MI 49546-6905
Mailing address
5859 28TH St SE
Grand Rapids, MI 49546-6905
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 |
|---|---|---|---|
| 16677 | CO | MD | Pharmacist |
| 5032032355 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1376918284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5859 28TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5859 28TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495466905",
"telephone_number": "970-404-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "CHRISTOPHER",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5032032355",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "16677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.