Individual provider Active NPI

Christopher Maslankowski

  • Pharmacist
  • Cumming, GA
National Provider Identifier
1720895782
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH025330 Issued in GA
Practice address
1211 Bald Ridge Marina Rd
Cumming, GA 30041-8484
Phone
(470) 239-6620
Fax
(470) 239-6611
NPI assigned
Dec 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051292447 IL
Pharmacist 183500000X RPH025330 GA Primary

Addresses

Primary practice location

1211 Bald Ridge Marina Rd
Cumming, GA 30041-8484

Mailing address

1211 Bald Ridge Marina Rd
Cumming, GA 30041-8484
Phone (470) 239-6620

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

State licenses

LicenseStateTypeSpecialty
RPH025330GAMDPharmacist
051292447ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1720895782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 BALD RIDGE MARINA RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418484",
            "telephone_number": "470-239-6620",
            "fax_number": "470-239-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 BALD RIDGE MARINA RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300418484",
            "telephone_number": "470-239-6620",
            "fax_number": "470-239-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLANKOWSKI",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051292447",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.