Dr. Andrew Jason Dzierlatka, Pharm.D.
Pharmacist in Plainville, CT. Individual provider (NPI-1).
NPI number1992088397
StatusActive
Last updated in NPPESSep 21, 2011
Details
- NPI
- 1992088397
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrew Jason Dzierlatka
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2011
- Last updated
- Sep 21, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PCT.0011030 | CT | Yes |
Practice location
30 Mohawk RdPlainville, CT 06062-1826
Phone 860-747-4890
Mailing address
30 Mohawk RdPlainville, CT 06062-1826
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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