Active NPI
Alan Anthony Lukazewski, RPH,CDE,CGP
- Geriatric Pharmacist
- Madison, WI
National Provider Identifier
1962730432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 11081-040
- Practice address
- 6201 Mineral Point Rd
Madison, WI 53705-4503 - Phone
- (608) 661-6676
- Fax
- (608) 276-9119
- NPI assigned
- Nov 21, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 11081-040 | WI | Primary |
Addresses
Primary practice location
6201 Mineral Point Rd
Madison, WI 53705-4503
Mailing address
45 Nob Hill Rd
Madison, WI 53713-2195
Phone (608) 661-6676
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11081-040 | WI | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461456000000",
"number": "1962730432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 NOB HILL RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537132195",
"telephone_number": "608-661-6676",
"fax_number": "608-276-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 MINERAL POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537054503",
"telephone_number": "608-661-6676",
"fax_number": "608-276-9119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKAZEWSKI",
"first_name": "ALAN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "RPH,CDE,CGP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-21",
"last_updated": "2016-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "WI",
"license": "11081-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.