MEDICARE: STEPHEN THOMAS DMOCHOWSKI PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PHA.0025102	CO
2	183500000X	Pharmacist	066709	NY

General Provider Information

NPI Number	:	1306444005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN THOMAS DMOCHOWSKI PHARMD

Provider Business Mailing Address
First Line	:	325 MAMARONECK AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-1440
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 MAMARONECK AVE
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-1440
Country	:	US
Telephone Number	:	914-287-7650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2020
Last Update Date	:	03/19/2026

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