NPIMap

Individual provider Active NPI

Andrew Edward Gawlikowski, PHARMD

  • Pharmacist
  • Great Falls, MT
National Provider Identifier
1881920197
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5855 Issued in MT
Practice address
625 Central Ave W
Suite 105
Great Falls, MT 59404-2874
Phone
(406) 452-3713
NPI assigned
Oct 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5855 MT Primary
Pharmacist 183500000X A1-0003584 DE

Addresses

Primary practice location

625 Central Ave W
Suite 105
Great Falls, MT 59404-2874

Mailing address

1524 3Rd Ave S
Great Falls, MT 59405-2407
Phone (406) 761-4764

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
A1-0003584DEMDPharmacist
5855MTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmerica Long-Term Care LLC PastSince Jun 7, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1881920197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 3RD AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052407",
            "telephone_number": "406-761-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CENTRAL AVE W",
            "address_2": "SUITE 105",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594042874",
            "telephone_number": "406-452-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWLIKOWSKI",
        "first_name": "ANDREW",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "5855",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0003584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.