Active NPI
Jennifer Jones Pawlukovich, PHARMD
- Pharmacist
- Amherst, NY
National Provider Identifier
1487881512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 049382
- Practice address
- 2970 Niagara Falls Blvd
Amherst, NY 14228 - Phone
- (716) 692-3704
- NPI assigned
- Jun 16, 2009
- Last updated
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 049382 | NY | Primary |
Addresses
Primary practice location
2970 Niagara Falls Blvd
Amherst, NY 14228
Mailing address
2970 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 692-3704
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049382 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1487881512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2970 NIAGARA FALLS BLVD",
"city": "AMHERST",
"state": "NY",
"postal_code": "14228",
"telephone_number": "716-692-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2970 NIAGARA FALLS BLVD",
"city": "AMHERST",
"state": "NY",
"postal_code": "14228",
"telephone_number": "716-692-3704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLUKOVICH",
"first_name": "JENNIFER",
"middle_name": "JONES",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.