Active NPI
Fraser Richard Czajkowski, PHARMACIST
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1770700577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18311
- Practice address
- 1121 N Circle Dr
Colorado Springs, CO 80909-3134 - Phone
- (719) 573-6061
- Fax
- (719) 573-1059
- NPI assigned
- Apr 20, 2007
- 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 | 18311 | CO | Primary |
Addresses
Primary practice location
1121 N Circle Dr
Colorado Springs, CO 80909-3134
Mailing address
328 Rangeview Rd
Divide, CO 80814-8107
Phone (719) 258-0038
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 |
|---|---|---|---|
| 18311 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Colorado Springs, CO
- NPI 1376572339
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1770700577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 RANGEVIEW RD",
"city": "DIVIDE",
"state": "CO",
"postal_code": "808148107",
"telephone_number": "719-258-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 N CIRCLE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809093134",
"telephone_number": "719-573-6061",
"fax_number": "719-573-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZAJKOWSKI",
"first_name": "FRASER",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "18311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.