Individual provider Active NPI

Paul Evan Cozart

  • Pharmacist
  • Spokane, WA
National Provider Identifier
1013557784
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60966133 Issued in WA
Practice address
2301 W Wellesley Ave
Spokane, WA 99205-5004
Phone
(509) 327-2015
NPI assigned
Jan 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60966133 WA Primary

Addresses

Primary practice location

2301 W Wellesley Ave
Spokane, WA 99205-5004

Mailing address

3201 W Smythe Rd
Spokane, WA 99224-7410
Phone (970) 218-6631

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 5093272015

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

State licenses

LicenseStateTypeSpecialty
60966133WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1013557784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W SMYTHE RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992247410",
            "telephone_number": "970-218-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W WELLESLEY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992055004",
            "telephone_number": "509-327-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZART",
        "first_name": "PAUL",
        "middle_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "60966133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "5093272015",
            "affiliation": "N",
            "endpointDescription": "Pharmacy phone number",
            "address_1": "2301 W Wellesley Ave",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992055004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.