Craig A Miklasiewicz, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

24081 Issued in MA

Practice address

506 Westfield Rd
Holyoke, MA 01040-1633

Phone

(413) 536-5506

NPI assigned

Mar 13, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427181213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 NORWOOD TER",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401710",
            "telephone_number": "413-540-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 WESTFIELD RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401633",
            "telephone_number": "413-536-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLASIEWICZ",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "24081",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "9120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2237914",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT RPH LICENSE NUMBER",
            "identifier": "9120",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA RPH LICENSE",
            "identifier": "24081",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448141",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ta-Mara Alisa Meuse, PA-C
• Melissa Michalek
• Althea Deforest Michel, R.N.
• Tylaisha E Middleton
• Alexa Mignano, M.S.
• Patrick T Miles, D.C.
• Diane Hyla Miller, M.ED
• Mary Miller, RN
• Jonathan Mills, MSW, LCSW
• Danielle Erika Mimitz, LMHC

• Pharmacist in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.