Active NPI
Adam Kowalczyk
- Pharmacist
- Buffalo, NY
National Provider Identifier
1447626585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061555
- Practice address
- 476 William St
Buffalo, NY 14206-1538 - Phone
- (716) 847-0424
- NPI assigned
- Aug 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202214327 | VA | |
| Pharmacist | 183500000X | 061555 | NY | Primary |
Addresses
Primary practice location
476 William St
Buffalo, NY 14206-1538
Mailing address
476 William St
Buffalo, NY 14206-1538
Phone (716) 847-0424
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061555 | NY | MD | Pediatric Dentist |
| 0202214327 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of New York Inc | Past | Accepting new patients | |
| Rite Aid of New York Inc | 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.
-
dba Rite Aid Pharmacy 03733
- Community/Retail Pharmacy
- New York, NY
- NPI 1639288129
-
dba Rite Aid Pharmacy 01677
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1851402994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466899200000",
"number": "1447626585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 WILLIAM ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142061538",
"telephone_number": "716-847-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "476 WILLIAM ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142061538",
"telephone_number": "716-847-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALCZYK",
"first_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-12",
"last_updated": "2016-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202214327",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.