Active NPI
Bryan Rawski
- Pharmacist
- Bethel, AK
National Provider Identifier
1538798129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR68881
- Practice address
- 829 Chief Eddy Hoffman Hwy
Bethel, AK 99559 - Phone
- (907) 543-6410
- NPI assigned
- Apr 6, 2020
- Last updated
- Apr 6, 2020
- 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 | PR68881 | ME | Primary |
Addresses
Primary practice location
829 Chief Eddy Hoffman Hwy
Bethel, AK 99559
Mailing address
PO Box 2990
Bethel, AK 99559-2990
Phone (207) 332-7362
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bryan_rawski@ykhc.org |
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 |
|---|---|---|---|
| PR68881 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1538798129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2990",
"city": "BETHEL",
"state": "AK",
"postal_code": "995592990",
"telephone_number": "207-332-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 CHIEF EDDY HOFFMAN HWY",
"city": "BETHEL",
"state": "AK",
"postal_code": "99559",
"telephone_number": "907-543-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWSKI",
"first_name": "BRYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-06",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR68881",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bryan_rawski@ykhc.org",
"affiliation": "N",
"address_1": "829 Chief Eddy Hoffman Hwy",
"city": "Bethel",
"state": "AK",
"country_code": "US",
"postal_code": "99559",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bethel, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.