Jakub Piotr Polakowski, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

19228-40 Issued in WI

Practice address

3601 Bee Ridge Rd
Sarasota, FL 34233-1044

Phone

(941) 921-4681

Fax

(941) 925-8576

NPI assigned

Feb 24, 2020

Last updated

Dec 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  dba Walgreens #03332

  • Pharmacy
  • Sarasota, FL
  • NPI 1730194903
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1396379848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331044",
            "telephone_number": "941-921-4681",
            "fax_number": "941-925-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331044",
            "telephone_number": "941-921-4681",
            "fax_number": "941-925-8576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Green Bay St",
            "address_purpose": "LOCATION",
            "city": "Shawano",
            "state": "WI",
            "postal_code": "541662541",
            "country_code": "US",
            "telephone_number": "715-524-5600",
            "fax_number": "715-524-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLAKOWSKI",
        "first_name": "JAKUB",
        "middle_name": "PIOTR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19228-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plymouth Harbor, Inc.
• Kathy PO, MD
• Iren J Pober, MD
• Robert J. Pohl, PA-C
• Points for Health Inc
• Jennifer Polanco
• Karena Maria Polcyn, NP
• Carla Jo Polins, A.P., D.O.M.
• Annette L Polit, CRNA
• Donna Simoneau Polito, P.A.-C

• Pharmacist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.