Active NPI
Douglas Krawczynski, RPH
- Pharmacist
- Port Isabel, TX
National Provider Identifier
1679173454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38997
- Practice address
- 1401 St Hwy 100
Port Isabel, TX 78578-2480 - Phone
- (956) 943-3512
- NPI assigned
- Oct 29, 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 | 38997 | TX | Primary |
Addresses
Primary practice location
1401 St Hwy 100
Port Isabel, TX 78578-2480
Mailing address
122 Chachalaca Dr
Bayview, TX 78566-4476
Phone (956) 451-6133
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 |
|---|---|---|---|
| 38997 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1679173454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 CHACHALACA DR",
"city": "BAYVIEW",
"state": "TX",
"postal_code": "785664476",
"telephone_number": "956-451-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 ST HWY 100",
"city": "PORT ISABEL",
"state": "TX",
"postal_code": "785782480",
"telephone_number": "956-943-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAWCZYNSKI",
"first_name": "DOUGLAS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "38997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Isabel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.