Peter X Konicki, RPH is a
Pharmacist based in Dupont, Pennsylvania. Peter X Konicki is licensed to practice in Pennsylvania (license number PP410933L) and his current practice location is
278 Main St, Dupont, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 655-8610.
NPI number for Peter X Konicki is 1992939920 and his current mailing address is 278 Main Street, Dupont, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992939920.
Healthcare Provider's Profile
| Full Name | Peter X Konicki |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 278 Main St, Dupont, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992939920
- Provider Enumeration Date: 05/05/2009
- Last Update Date: 05/05/2009
Medical Identifiers
Medical identifiers for Peter X Konicki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992939920 | NPI | - | NPPES |
| 100744051002 | Medicaid | PA | |
| 3962331 | Other | | NABP/NCPDP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PP410933L (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter X Konicki is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Peter X Konicki, RPH
278 Main Street,
Dupont, PA 18641-0000
Ph: (570) 655-8610 | Peter X Konicki, RPH
278 Main St,
Dupont, PA 18641-1960
Ph: (570) 655-8610 |
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