Active NPI
Stanley Michael Piskorowski, RPH
- Pharmacist
- North Tonawanda, NY
National Provider Identifier
1386885911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033049
- Practice address
- 1066 Payne Ave
North Tonawanda, NY 14120-2720 - Phone
- (716) 694-0323
- Fax
- (716) 693-1506
- NPI assigned
- Mar 11, 2009
- 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 | 033049 | NY | Primary |
Addresses
Primary practice location
1066 Payne Ave
North Tonawanda, NY 14120-2720
Mailing address
359 Bennett St
North Tonawanda, NY 14120-4101
Phone (716) 693-5272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1386885911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 BENNETT ST",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141204101",
"telephone_number": "716-693-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1066 PAYNE AVE",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202720",
"telephone_number": "716-694-0323",
"fax_number": "716-693-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISKOROWSKI",
"first_name": "STANLEY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "033049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.