Active NPI
Joseph Louis Kwitkowski, PHARMD, RPH
- Pharmacist
- Massillon, OH
National Provider Identifier
1699379289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03228066
- Practice address
- 1413 Amherst Rd NE
Massillon, OH 44646-4331 - Phone
- (330) 830-2600
- NPI assigned
- Nov 24, 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 | 03228066 | OH | Primary |
Addresses
Primary practice location
1413 Amherst Rd NE
Massillon, OH 44646-4331
Mailing address
18592 Edwards Rd Lot 204
Doylestown, OH 44230-9564
Phone (440) 479-3861
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03228066 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc Glassman 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": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1699379289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18592 EDWARDS RD LOT 204",
"city": "DOYLESTOWN",
"state": "OH",
"postal_code": "442309564",
"telephone_number": "440-479-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 AMHERST RD NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446464331",
"telephone_number": "330-830-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWITKOWSKI",
"first_name": "JOSEPH",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03228066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.