Active NPI
Nicole Lynn Bazewicz, PHARMD, RPH
- Pharmacist
- Aubrey, TX
National Provider Identifier
1073840112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45402
- Practice address
- 26731 US Highway 380 E
Aubrey, TX 76227-8210 - Phone
- (972) 347-5112
- Fax
- (972) 347-6120
- NPI assigned
- Nov 10, 2009
- Last updated
- Nov 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 45402 | TX | Primary |
| Pharmacist | 183500000X | 26022214A | IN |
Addresses
Primary practice location
26731 US Highway 380 E
Aubrey, TX 76227-8210
Mailing address
26731 US Highway 380 E
Aubrey, TX 76227-8210
Phone (972) 347-5112
Other names 1
- Dr. Nicole Lynn Pitlik
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26022214A | IN | MD | Pharmacist |
| 45402 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1073840112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26731 US HIGHWAY 380 E",
"city": "AUBREY",
"state": "TX",
"postal_code": "762278210",
"telephone_number": "972-347-5112",
"fax_number": "972-347-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26731 US HIGHWAY 380 E",
"city": "AUBREY",
"state": "TX",
"postal_code": "762278210",
"telephone_number": "972-347-5112",
"fax_number": "972-347-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZEWICZ",
"first_name": "NICOLE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "45402",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26022214A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "PITLIK",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "PHARMD, RPH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Aubrey, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.