Active NPI
Mark Thomas Lewandowski, R. PH.
- Pharmacist
- Merrillville, IN
National Provider Identifier
1962797316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26014341A
- Practice address
- 2661 E US Highway 30
T-0870
Merrillville, IN 46410-5898 - Phone
- (219) 942-1267
- NPI assigned
- Jun 14, 2011
- 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 | 26014341A | IN | Primary |
Addresses
Primary practice location
2661 E US Highway 30
T-0870
Merrillville, IN 46410-5898
Mailing address
2661 E US Highway 30
T-0870
Merrillville, IN 46410-5898
Phone (219) 942-1267
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 |
|---|---|---|---|
| 26014341A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1962797316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2661 E US HIGHWAY 30",
"address_2": "T-0870",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105898",
"telephone_number": "219-942-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2661 E US HIGHWAY 30",
"address_2": "T-0870",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464105898",
"telephone_number": "219-942-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWANDOWSKI",
"first_name": "MARK",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "R. PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26014341A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.