Active NPI
Michael A. Kondik, R.PH.
- Pharmacist
- Milford, MA
National Provider Identifier
1497920235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23459
- Practice address
- 25 Birch St
Building B, Suite 100
Milford, MA 01757-3585 - Phone
- (800) 225-5967
- Fax
- (909) 799-4364
- NPI assigned
- Apr 23, 2008
- Sex
- Male
- 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 | 23459 | MA | Primary |
Addresses
Primary practice location
25 Birch St
Building B, Suite 100
Milford, MA 01757-3585
Mailing address
25 Birch St
Building B, Suite 100
Milford, MA 01757-3585
Phone (800) 225-5967
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23459 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1497920235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BIRCH ST",
"address_2": "BUILDING B, SUITE 100",
"city": "MILFORD",
"state": "MA",
"postal_code": "017573585",
"telephone_number": "800-225-5967",
"fax_number": "909-799-4364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BIRCH ST",
"address_2": "BUILDING B, SUITE 100",
"city": "MILFORD",
"state": "MA",
"postal_code": "017573585",
"telephone_number": "800-225-5967",
"fax_number": "909-799-4364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONDIK",
"first_name": "MICHAEL",
"middle_name": "A.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-23",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "23459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.