Individual provider Active NPI

Thomas Anthony Szewczyk, RPH

  • Pharmacist
  • Enfield, CT
National Provider Identifier
1629243258
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5267 Issued in CT
Practice address
89 Raffia Rd
Enfield, CT 06082-5157
Phone
(860) 749-8334
Fax
(860) 749-8156
NPI assigned
Apr 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5267 CT Primary

Addresses

Primary practice location

89 Raffia Rd
Enfield, CT 06082-5157

Mailing address

89 Raffia Rd
Enfield, CT 06082-5157
Phone (860) 749-8334

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
5267CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwood Pharmacy, Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1629243258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 RAFFIA RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825157",
            "telephone_number": "860-749-8334",
            "fax_number": "860-749-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 RAFFIA RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825157",
            "telephone_number": "860-749-8334",
            "fax_number": "860-749-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZEWCZYK",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "5267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.