Patryk Janowski

Primary specialty

PharmacistTaxonomy code 183500000X

License

049238157 Issued in IL

Practice address

1350 S US Highway 12
Fox Lake, IL 60020-1930

Phone

(847) 587-4206

NPI assigned

May 24, 2021

Last updated

May 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Drug Stores LLC

  • Community/Retail Pharmacy
  • Diamond, IL
  • NPI 1013786706
  NPD (past)
• American Drug Stores LLC

  dba Osco Drug #3453

  • Community/Retail Pharmacy
  • Fox Lake, IL
  • NPI 1124074653
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1831764737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S US HIGHWAY 12",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S US HIGHWAY 12",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201930",
            "telephone_number": "847-587-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOWSKI",
        "first_name": "PATRYK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "049238157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Community High School District 124
• Lizbeth Guzman
• Carlton Bruce Hagstrom, D.D.S.
• Mackenzie Hansen
• Healthcare Associates (Lakeside Chiropractic)
• Nicholas Kaczkowski, PT, DPT, MS
• Taylor Kaether, MS, LCPC
• Kristine S Kahn, PT
• Jorid Keri, PHARM D
• Allison Kriegler, OTR/L

• Pharmacist in Fox Lake, IL
• Providers in Fox Lake, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.