Active NPI
Michael Krzyzaniak, PHARMD
- Pharmacist
- Chicago, IL
National Provider Identifier
1548540297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051286204
- Practice address
- 4005 W 26TH St
Chicago, IL 60623-3709 - Phone
- (773) 521-7700
- Fax
- (773) 521-5724
- NPI assigned
- Aug 25, 2011
- 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 | 051286204 | IL | Primary |
Addresses
Primary practice location
4005 W 26TH St
Chicago, IL 60623-3709
Mailing address
4005 W 26TH St
Chicago, IL 60623-3709
Phone (773) 521-7700
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 |
|---|---|---|---|
| 051286204 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1548540297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233709",
"telephone_number": "773-521-7700",
"fax_number": "773-521-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233709",
"telephone_number": "773-521-7700",
"fax_number": "773-521-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRZYZANIAK",
"first_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-25",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051286204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.