Active NPI
Stanley B Walczyk, RPH
- Pharmacist
- Dalton, MA
National Provider Identifier
1528433240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH16362
- Practice address
- 403 Main St
Dalton, MA 01226-1603 - Phone
- (413) 684-0023
- Fax
- (413) 684-3320
- NPI assigned
- Dec 7, 2015
- Last updated
- Dec 7, 2015
- 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 | PH16362 | MA | Primary |
Addresses
Primary practice location
403 Main St
Dalton, MA 01226-1603
Mailing address
403 Main St
Dalton, MA 01226-1603
Phone (413) 684-0023
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 |
|---|---|---|---|
| PH16362 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olaughlins Homecare Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Olaughlin Home Care Pharmacy
- Community/Retail Pharmacy
- Dalton, MA
- NPI 1245315688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1528433240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 MAIN ST",
"city": "DALTON",
"state": "MA",
"postal_code": "012261603",
"telephone_number": "413-684-0023",
"fax_number": "413-684-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 MAIN ST",
"city": "DALTON",
"state": "MA",
"postal_code": "012261603",
"telephone_number": "413-684-0023",
"fax_number": "413-684-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALCZYK",
"first_name": "STANLEY",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH16362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalton, MA
- Melissa A Turner, PTA
- Alyssa Van Fleet
- Thomas J Vaughan, MD
- Videll Healthcare Craneville, LLC (Craneville Place Rehabilitation and Skilled Care Center)
- Videll Healthcare Sugar Hill, LLC (Sugar Hill)
- Leslie Barbara Washburn, NP
- Peggy Louise White, MSRN CS
- Whole Heart Homecare LLC
- Raymond C Woitkowski, HIS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.