Individual provider Active NPI

Dariusz Pawel Mroziakiewicz, PHARMD

  • Pharmacist
  • Syracuse, UT
National Provider Identifier
1992469589
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11962949-1701 Issued in UT
Practice address
1037 W 1700 S
Syracuse, UT 84075-9129
Phone
(801) 614-1299
NPI assigned
Oct 28, 2021
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41502 TN
Pharmacist 183500000X 11962949-1701 UT Primary

Addresses

Primary practice location

1037 W 1700 S
Syracuse, UT 84075-9129

Mailing address

9722 S Quindaro Rd
Sandy, UT 84070-3502
Phone (801) 860-4225

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
11962949-1701UTMDPharmacist
41502TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Oct 31, 2021 Accepting new patients
Walgreen Co PastSince Oct 31, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1992469589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 S QUINDARO RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703502",
            "telephone_number": "801-860-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 W 1700 S",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759129",
            "telephone_number": "801-614-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZIAKIEWICZ",
        "first_name": "DARIUSZ",
        "middle_name": "PAWEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "41502",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "11962949-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.