Gary J Lijewski, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302024751 Issued in MI

Practice address

3541 Highland Rd
Waterford, MI 48328-2324

Phone

(248) 682-3661

Fax

(248) 682-8510

NPI assigned

Feb 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Gary Lijewski Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1568794899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LARCHMONT AVE",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483284342",
            "telephone_number": "248-681-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282324",
            "telephone_number": "248-682-3661",
            "fax_number": "248-682-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIJEWSKI",
        "first_name": "GARY",
        "middle_name": "J",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302024751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "LIJEWSKI",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Waterford, MI
• Providers in Waterford, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.