Active NPI
Adam Thomas Krakowiak
- Pharmacist
- Bloomfield, CT
National Provider Identifier
1497254684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0014113
- Practice address
- 835 Park Ave
Bloomfield, CT 06002-2469 - Phone
- (860) 242-5551
- NPI assigned
- Feb 2, 2018
- 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 | PH239900 | MA | |
| Pharmacist | 183500000X | PCT.0014113 | CT | Primary |
Addresses
Primary practice location
835 Park Ave
Bloomfield, CT 06002-2469
Mailing address
835 Park Ave
Bloomfield, CT 06002-2469
Phone (860) 242-5551
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 |
|---|---|---|---|
| PCT.0014113 | CT | MD | Pharmacist |
| PH239900 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1497254684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 PARK AVE",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022469",
"telephone_number": "860-242-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 PARK AVE",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022469",
"telephone_number": "860-242-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAKOWIAK",
"first_name": "ADAM",
"middle_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-02",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH239900",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0014113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.