Active NPI
James Lukowiak
- Pharmacist
- Carmel, IN
National Provider Identifier
1871130641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26019998A
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922171446 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26019998A | IN | MD | Pharmacist |
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.