Active NPI
Jeremii Witold Wesolowski, PH.D., R,PH.
- Pharmacist
- San Diego, CA
National Provider Identifier
1770601007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56335
- Practice address
- 3851 Rosecrans St
San Diego, CA 92110-3115 - Phone
- (619) 692-5600
- Fax
- (619) 692-6696
- NPI assigned
- Mar 26, 2007
- 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 | 56335 | CA | Primary |
Addresses
Primary practice location
3851 Rosecrans St
San Diego, CA 92110-3115
Mailing address
PO Box 187
Yorba Linda, CA 92885-0187
Phone (619) 692-5600
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 Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770601007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928850187",
"telephone_number": "619-692-5600",
"fax_number": "619-692-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 ROSECRANS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103115",
"telephone_number": "619-692-5600",
"fax_number": "619-692-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESOLOWSKI",
"first_name": "JEREMII",
"middle_name": "WITOLD",
"name_prefix": "Dr.",
"credential": "PH.D., R,PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.