Active NPI
Scott Liszewski
- Pharmacist
- Grand Junction, CO
National Provider Identifier
1740994904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0024267
- Practice address
- 2512 Broadway
Grand Junction, CO 81507-2758 - Phone
- (303) 744-8660
- NPI assigned
- Jan 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 0024267 | CO | Primary |
Addresses
Primary practice location
2512 Broadway
Grand Junction, CO 81507-2758
Mailing address
2458 1/2 Brookwillow Loop
Grand Junction, CO 81505-4801
Phone (719) 213-3568
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024267 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1740994904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2458 1/2 BROOKWILLOW LOOP",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815054801",
"telephone_number": "719-213-3568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 BROADWAY",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815072758",
"telephone_number": "303-744-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISZEWSKI",
"first_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-11",
"last_updated": "2023-01-11",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0024267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.