Greg Thomas Ciszewski, DPH
Individual provider Active NPI Pharmacist · Alcoa, TN
NPI 1487930962 · NPPES record last updated Oct 27, 2011
Key facts
- NPI
- 1487930962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9014 (TN)
- Practice address
- 227 N. Hall Rd
Alcoa, TN 37701-2538 - Phone
- (865) 982-2463
- Fax
- (865) 982-5331
- NPI assigned
- Oct 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9014 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9014 | TN | Yes |
Addresses
Primary practice location
227 N. Hall Rd
Alcoa, TN 37701-2538
Mailing address
227 N. Hall Rd
Alcoa, TN 37701-2538
Phone (865) 982-2463
Other providers in Alcoa, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.