Individual provider Active NPI

Ray W Maciejewski, PHARM D

  • Pharmacist
  • Oviedo, FL
National Provider Identifier
1477890234
Registry record updated Jan 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS26887 Issued in FL
Practice address
2100 Winter Springs Blvd
Oviedo, FL 32765-9342
Phone
(407) 366-9810
Fax
(407) 366-5960
NPI assigned
Jan 12, 2013
Last updated
Jan 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS26887 FL Primary

Addresses

Primary practice location

2100 Winter Springs Blvd
Oviedo, FL 32765-9342

Mailing address

2100 Winter Springs Blvd
Oviedo, FL 32765-9342
Phone (407) 366-9810

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS26887FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357948800000",
    "number": "1477890234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WINTER SPRINGS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659342",
            "telephone_number": "407-366-9810",
            "fax_number": "407-366-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WINTER SPRINGS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659342",
            "telephone_number": "407-366-9810",
            "fax_number": "407-366-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIEJEWSKI",
        "first_name": "RAY",
        "middle_name": "W",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-12",
        "last_updated": "2013-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS26887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; 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.