Active NPI
Joseph Nowicki
- Pharmacist
- Riverside, CA
National Provider Identifier
1548845654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83920
- Practice address
- 5200 Van Buren Blvd
Riverside, CA 92503-2544 - Phone
- (951) 689-7581
- Fax
- (951) 689-7583
- NPI assigned
- Mar 10, 2021
- 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 | 83920 | CA | Primary |
Addresses
Primary practice location
5200 Van Buren Blvd
Riverside, CA 92503-2544
Mailing address
5200 Van Buren Blvd
Riverside, CA 92503-2544
Phone (951) 689-7581
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1548845654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VAN BUREN BLVD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925032544",
"telephone_number": "951-689-7581",
"fax_number": "951-689-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 VAN BUREN BLVD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925032544",
"telephone_number": "951-689-7581",
"fax_number": "951-689-7583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWICKI",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83920",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"endpointDescription": "NA",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5200 Van Buren Blvd",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925032544",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.