Active NPI
Dennis M Kostrzewa, RPH MBA
- Pharmacist
- Oswego, IL
National Provider Identifier
1831471127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.033439
- Practice address
- 410 Chicago Rd
Oswego, IL 60543-9826 - Phone
- (630) 551-4587
- NPI assigned
- Sep 13, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.033439 | IL | Primary |
| Pharmacist | 183500000X | 5302024009 | MI |
Addresses
Primary practice location
410 Chicago Rd
Oswego, IL 60543-9826
Mailing address
410 Chicago Road
Walgreens 5824
Oswego, IL 60543
Phone (630) 551-4587
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.033439 | IL | MD | Pharmacist |
| 5302024009 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1831471127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CHICAGO ROAD",
"address_2": "WALGREENS 5824",
"city": "OSWEGO",
"state": "IL",
"postal_code": "60543",
"telephone_number": "630-551-4587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CHICAGO RD",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605439826",
"telephone_number": "630-551-4587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTRZEWA",
"first_name": "DENNIS",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "RPH MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-13",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.033439",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302024009",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.