Individual provider Active NPI

Jesse Robert Milowicki, PHARMD

  • Pharmacist
  • Follansbee, WV
National Provider Identifier
1548841505
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0012554 Issued in WV
Practice address
1415 Main St
Follansbee, WV 26037-1217
Phone
(307) 527-1004
Fax
(304) 527-1006
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03132492 OH
Pharmacist 183500000X RP0012554 WV Primary

Addresses

Primary practice location

1415 Main St
Follansbee, WV 26037-1217

Mailing address

1415 Main St
Follansbee, WV 26037-1217
Phone (304) 527-1004

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

LicenseStateTypeSpecialty
03132492OHMDPharmacist
RP0012554WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1548841505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371217",
            "telephone_number": "304-527-1004",
            "fax_number": "304-527-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371217",
            "telephone_number": "307-527-1004",
            "fax_number": "304-527-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOWICKI",
        "first_name": "JESSE",
        "middle_name": "ROBERT",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03132492",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0012554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Follansbee, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.