Individual provider Active NPI

E. Louis Czechowski Jr., R. PH.

  • Geriatric Pharmacist
  • Macungie, PA
National Provider Identifier
1578744561
Registry record updated Nov 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
RP041375L Issued in PA
Practice address
6642 Blue Heather CT
Macungie, PA 18062-8493
Phone
(610) 428-6868
Fax
(610) 965-6808
NPI assigned
Nov 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X RP041375L PA Primary
Geriatric Pharmacist 1835G0303X A10002859 DE

Addresses

Primary practice location

6642 Blue Heather CT
Macungie, PA 18062-8493

Mailing address

6642 Blue Heather CT
Macungie, PA 18062-8493
Phone (610) 428-6868

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
A10002859DEMDGeriatric Pharmacist
RP041375LPAMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195344000000",
    "number": "1578744561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 BLUE HEATHER CT",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628493",
            "telephone_number": "610-428-6868",
            "fax_number": "610-965-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6642 BLUE HEATHER CT",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628493",
            "telephone_number": "610-428-6868",
            "fax_number": "610-965-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZECHOWSKI",
        "first_name": "E.",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R. PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-18",
        "last_updated": "2007-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "PA",
            "license": "RP041375L",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "DE",
            "license": "A10002859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macungie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; 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.