Active NPI
Lydia Elizabeth Kondratowicz, PHARM D
- Pharmacist
- Livingston, NJ
National Provider Identifier
1609150341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RJ00439
- Practice address
- 45 S Livingston Ave # a
Livingston, NJ 07039-3016 - Phone
- (973) 740-1166
- NPI assigned
- Sep 29, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 28RJ00439 | NJ | Primary |
Addresses
Primary practice location
45 S Livingston Ave # a
Livingston, NJ 07039-3016
Mailing address
186 Robertson Way
Lincoln Park, NJ 07035-1852
Phone (973) 740-1166
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 |
|---|---|---|---|
| 28RJ00439 | NJ | 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.
-
- Pharmacy
- Livingston, NJ
- NPI 1629083613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1609150341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 ROBERTSON WAY",
"city": "LINCOLN PARK",
"state": "NJ",
"postal_code": "070351852",
"telephone_number": "973-740-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 S LIVINGSTON AVE # A",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070393016",
"telephone_number": "973-740-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONDRATOWICZ",
"first_name": "LYDIA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RJ00439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.