Active NPI
Martin E. Pietruszewski, R.PH.
- Pharmacist
- Kenmore, NY
National Provider Identifier
1427372143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 035548
- Practice address
- 2818 Delaware Ave
Kenmore, NY 14217-2704 - Phone
- (716) 874-6360
- Fax
- (716) 874-6369
- NPI assigned
- Mar 24, 2010
- Last updated
- Mar 4, 2015
- 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 | 035548 | NY | Primary |
Addresses
Primary practice location
2818 Delaware Ave
Kenmore, NY 14217-2704
Mailing address
2818 Delaware Ave
Kenmore, NY 14217-2704
Phone (716) 874-6360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035548 | Other | NY | STATE LICENSE |
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 |
|---|---|---|---|
| Rutowski of Kenmore Inc | Pharmacist | 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": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1427372143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142172704",
"telephone_number": "716-874-6360",
"fax_number": "716-874-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142172704",
"telephone_number": "716-874-6360",
"fax_number": "716-874-6369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRUSZEWSKI",
"first_name": "MARTIN",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-24",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "035548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "035548",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.