Brian Douglas Wieczorek, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP033785L Issued in PA

Practice address

2715 Parade St
Erie, PA 16504-2811

Phone

(814) 454-5148

Fax

(814) 456-8086

NPI assigned

Jun 18, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Rite Aid of Pennsylvania LLC

  dba Rite Aid Pharmacy 00213

  • Community/Retail Pharmacy
  • Erie, PA
  • NPI 1356430094
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1548497449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 SOUTHLAND DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165097821",
            "telephone_number": "814-866-5301",
            "fax_number": "814-866-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 PARADE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042811",
            "telephone_number": "814-454-5148",
            "fax_number": "814-456-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP033785L",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03324204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Whitlow, PSYD
• Michelle Wick, LPC
• Eardly K P Wickramasinghe, MD
• Karin Wickwire
• Meredith Widecan
• Ellen Arlene Wieczorek, RN
• Stephen M Wieczorek, DPM
• Shamim Chaparian Wienczkowski, PHARMD
• Victoria A Wiesner, CRNP
• Paul Daniel Wiest, PA (ASCP)

• Pharmacist in Erie, PA
• Providers in Erie, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.