Active NPI
Peter A Wirkowski, PHARM.D.
- Pharmacist
- Cleveland, OH
National Provider Identifier
1497270425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 062149
- Practice address
- 1730 W 25TH St Dept of
Cleveland, OH 44113-3108 - Phone
- (216) 363-2359
- NPI assigned
- Aug 10, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 062149 | NY | Primary |
Addresses
Primary practice location
1730 W 25TH St Dept of
Cleveland, OH 44113-3108
Mailing address
52 Valentine Ave
Glen Cove, NY 11542-4146
Phone (516) 695-9112
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 |
|---|---|---|---|
| 062149 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1497270425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 VALENTINE AVE",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115424146",
"telephone_number": "516-695-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W 25TH ST DEPT OF",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133108",
"telephone_number": "216-363-2359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRKOWSKI",
"first_name": "PETER",
"middle_name": "A",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-10",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.