Active NPI
Christopher Nicholas Goralczyk
- Pharmacist
- Feeding Hills, MA
National Provider Identifier
1801362850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0014570
- Practice address
- 92 Parkview Dr
Feeding Hills, MA 01030-1240 - Phone
- (413) 657-1261
- NPI assigned
- Oct 17, 2018
- 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 | PCT.0014570 | CT | Primary |
Addresses
Primary practice location
92 Parkview Dr
Feeding Hills, MA 01030-1240
Mailing address
92 Parkview Dr
Feeding Hills, MA 01030-1240
Phone (413) 657-1261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCT.0014570 | Other | CT | STATE OF CONNECTICUT BOARD OF PHARMACY |
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 |
|---|---|---|---|
| PCT.0014570 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1801362850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 PARKVIEW DR",
"city": "FEEDING HILLS",
"state": "MA",
"postal_code": "010301240",
"telephone_number": "413-657-1261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 PARKVIEW DR",
"city": "FEEDING HILLS",
"state": "MA",
"postal_code": "010301240",
"telephone_number": "413-657-1261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORALCZYK",
"first_name": "CHRISTOPHER",
"middle_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0014570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CONNECTICUT BOARD OF PHARMACY",
"identifier": "PCT.0014570",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Feeding Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.