Individual provider Active NPI

Kenneth James Bykowski, RPH

  • Pharmacist
  • Scottsdale, AZ
National Provider Identifier
1861523573
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7975 Issued in AZ
Practice address
5935 E Kings Ave
Scottsdale, AZ 85254-1318
Phone
(602) 326-3088
Fax
(602) 569-2787
NPI assigned
Mar 7, 2007
Last updated
Dec 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7975 AZ Primary
Pharmacist 183500000X 051027819 IL

Addresses

Primary practice location

5935 E Kings Ave
Scottsdale, AZ 85254-1318

Mailing address

5935 E Kings Ave
Scottsdale, AZ 85254-1318
Phone (602) 326-3088

Other identifiers 2

IdentifierTypeStateIssuer
7975OtherAZARIZONA STATE BOARD OF PH
051027819OtherILILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION - PHARMACIST

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
7975AZMDChiropractor
051027819ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1861523573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 E KINGS AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541318",
            "telephone_number": "602-326-3088",
            "fax_number": "602-569-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 E KINGS AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541318",
            "telephone_number": "602-326-3088",
            "fax_number": "602-569-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYKOWSKI",
        "first_name": "KENNETH",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "7975",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051027819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF PH",
            "identifier": "7975",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION - PHARMACIST",
            "identifier": "051027819",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.