Active NPI
Michael R Kolbicka
- Pharmacist
- West Columbia, SC
National Provider Identifier
1760798656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH12632
- Practice address
- 702 Main St
West Columbia, SC 29170-4020 - Phone
- (803) 955-2302
- NPI assigned
- Aug 30, 2010
- 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 | PH12632 | SC | Primary |
Addresses
Primary practice location
702 Main St
West Columbia, SC 29170-4020
Mailing address
702 Main St
West Columbia, SC 29170-4020
Phone (803) 955-2302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH12632 | Other | SC | NPI NUMBER |
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 |
|---|---|---|---|
| PH12632 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1760798656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 MAIN ST",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291704020",
"telephone_number": "803-955-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 MAIN ST",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291704020",
"telephone_number": "803-955-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLBICKA",
"first_name": "MICHAEL",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "PH12632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "PH12632",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.