Active NPI
Michael C Podrasky, RPH
- Pharmacist
- Lewes, DE
National Provider Identifier
1669075784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0002650
- Practice address
- 17229 N Village Main Blvd
Lewes, DE 19958-6311 - Phone
- (302) 644-1558
- Fax
- (302) 644-2290
- NPI assigned
- Nov 19, 2020
- Sex
- Male
- 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 | A1-0002650 | DE | Primary |
Addresses
Primary practice location
17229 N Village Main Blvd
Lewes, DE 19958-6311
Mailing address
17229 N Village Main Blvd
Lewes, DE 19958-6311
Phone (302) 644-1558
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
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0002650 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Delaware CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1669075784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17229 N VILLAGE MAIN BLVD",
"city": "LEWES",
"state": "DE",
"postal_code": "199586311",
"telephone_number": "302-644-1558",
"fax_number": "302-644-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17229 N VILLAGE MAIN BLVD",
"city": "LEWES",
"state": "DE",
"postal_code": "199586311",
"telephone_number": "302-644-1558",
"fax_number": "302-644-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODRASKY",
"first_name": "MICHAEL",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0002650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.