Individual provider Active NPI

Lance Strzegowski, PHARMD

  • Pharmacist
  • East Granby, CT
National Provider Identifier
1730638743
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22336 Issued in CT
Practice address
5 Concord Dr
East Granby, CT 06026-9507
Phone
(860) 490-0205
NPI assigned
Oct 3, 2016
Last updated
Oct 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22336 CT Primary
Pharmacist 183500000X 8650 MA

Addresses

Primary practice location

5 Concord Dr
East Granby, CT 06026-9507

Mailing address

5 Concord Dr
East Granby, CT 06026-9507
Phone (860) 490-0205

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

State licenses

LicenseStateTypeSpecialty
8650MAMDPsychologist
22336CTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1730638743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CONCORD DR",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060269507",
            "telephone_number": "860-490-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CONCORD DR",
            "city": "EAST GRANBY",
            "state": "CT",
            "postal_code": "060269507",
            "telephone_number": "860-490-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRZEGOWSKI",
        "first_name": "LANCE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "22336",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "8650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Granby, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.