Active NPI
Michael Ozer
- Pharmacist
- Dover, DE
National Provider Identifier
1053610634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02713400
- Practice address
- 3115 Kenton Rd
Dover, DE 19904-1334 - Phone
- (302) 331-5878
- NPI assigned
- Mar 22, 2011
- Last updated
- Dec 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18303 | MD | |
| Pharmacist | 183500000X | A1-0003237 | DE | |
| Pharmacist | 183500000X | 28RI02713400 | NJ | Primary |
Addresses
Primary practice location
3115 Kenton Rd
Dover, DE 19904-1334
Mailing address
3115 Kenton Rd
Dover, DE 19904-1334
Phone (302) 331-5878
Other names 1
- Mr. Michael Ozer
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18303 | MD | MD | Social Worker |
| A1-0003237 | DE | MD | Pharmacist |
| 28RI02713400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1053610634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 KENTON RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199041334",
"telephone_number": "302-331-5878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 KENTON RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199041334",
"telephone_number": "302-331-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZER",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-22",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "18303",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0003237",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02713400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "OZER",
"prefix": "MR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.