Individual provider Active NPI

Valantina Maizo, PHARMD

  • Pharmacist
  • Kalamazoo, MI
National Provider Identifier
1053932822
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302412007 Issued in MI
Practice address
5815 Gull Rd
Kalamazoo, MI 49048-1094
Phone
(269) 226-9433
NPI assigned
May 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302412007 MI Primary

Addresses

Primary practice location

5815 Gull Rd
Kalamazoo, MI 49048-1094

Mailing address

36354 Bagdad Dr
Sterling Heights, MI 48312-3009

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Pharmacy WALGREEN CO

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302412007MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Nov 7, 2025 Accepting new patients
Walgreen Co PastSince May 10, 2020 Accepting new patients

Locations

5815 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-9433

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1053932822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36354 BAGDAD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481094",
            "telephone_number": "269-226-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIZO",
        "first_name": "VALANTINA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302412007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pharmacy",
            "affiliation": "Y",
            "affiliationName": "WALGREEN CO",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Walgreens pharmacy",
            "address_1": "5815 Gull Rd",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490481094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.