Active NPI
Tracy Kay Cozzolino
- Pharmacy Technician
- Port Orchard, WA
National Provider Identifier
1083739296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- VA00041465
- Practice address
- 1141 Beach Dr E
Port Orchard, WA 98366-4937 - Phone
- (360) 895-4687
- Fax
- (360) 895-4482
- NPI assigned
- Mar 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | VA00041465 | WA | Primary |
Addresses
Primary practice location
1141 Beach Dr E
Port Orchard, WA 98366-4937
Mailing address
7070 SE McKinley St
Port Orchard, WA 98366-8446
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 |
|---|---|---|---|
| VA00041465 | WA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083739296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7070 SE MCKINLEY ST",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983668446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 BEACH DR E",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983664937",
"telephone_number": "360-895-4687",
"fax_number": "360-895-4482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZZOLINO",
"first_name": "TRACY",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WA",
"license": "VA00041465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.