Kevin Bozymski, PHARMD, BCPS
Individual provider Active NPI Psychiatric Pharmacist · Milwaukee, WI
NPI 1003326745 · NPPES record last updated Oct 18, 2017
Key facts
- NPI
- 1003326745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric Pharmacist 1835P1300X
- License
- 18943-40 (WI)
- Practice address
- 1155 N Mayfair Rd
Milwaukee, WI 53226-3462 - Phone
- (414) 955-8950
- NPI assigned
- Oct 9, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18943-40 | WI | MD | Psychiatric Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 18943-40 | WI | Yes |
Addresses
Primary practice location
1155 N Mayfair Rd
Milwaukee, WI 53226-3462
Mailing address
8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548
Other providers in Milwaukee, WI
- Kelly Ann Boyle
- Madeleine Boyle
- Jessica Boyles
- Natalie Bozikowski
- Mary Bozsik
- Eugene F Braaksma
- Kylie Lynn Braam
- Christopher Brabant
- Nicholas Bracciano
- Lucia Elizabeth Bracco
All providers in Milwaukee, WI · Psychiatric Pharmacist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.