Individual provider Active NPI

James Lukowiak

  • Pharmacist
  • Carmel, IN
National Provider Identifier
1871130641
Registry record updated Nov 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26019998A Issued in IN
Practice address
1217 S Rangeline Rd
Carmel, IN 46032-2519
Phone
(317) 843-4431
Fax
(317) 574-4675
NPI assigned
Nov 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 26019998A IN Primary

Addresses

Primary practice location

1217 S Rangeline Rd
Carmel, IN 46032-2519

Mailing address

1217 S Rangeline Rd
Carmel, IN 46032-2519
Phone (317) 843-4431

Other identifiers 1

IdentifierTypeStateIssuer
1922171446MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.lukowiak@stores.kroger.com

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

LicenseStateTypeSpecialty
26019998AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1871130641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S RANGELINE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322519",
            "telephone_number": "317-843-4431",
            "fax_number": "317-574-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S RANGELINE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322519",
            "telephone_number": "317-843-4431",
            "fax_number": "317-574-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOWIAK",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26019998A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922171446",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.lukowiak@stores.kroger.com",
            "affiliation": "N",
            "address_1": "1217 S Rangeline Rd",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460322519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; 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.