Individual provider Active NPI

Valerie Ann Breznak, PHARMD

  • Pharmacist
  • Mahanoy City, PA
National Provider Identifier
1114217387
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP442896 Issued in PA
Practice address
15 W Centre St
Mahanoy City, PA 17948-2603
Phone
(570) 773-1455
Fax
(570) 773-6252
NPI assigned
Apr 8, 2011
Last updated
Apr 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP442896 PA Primary

Addresses

Primary practice location

15 W Centre St
Mahanoy City, PA 17948-2603

Mailing address

15 W Centre St
Mahanoy City, PA 17948-2603
Phone (570) 773-1455

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
RP442896PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1114217387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W CENTRE ST",
            "city": "MAHANOY CITY",
            "state": "PA",
            "postal_code": "179482603",
            "telephone_number": "570-773-1455",
            "fax_number": "570-773-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W CENTRE ST",
            "city": "MAHANOY CITY",
            "state": "PA",
            "postal_code": "179482603",
            "telephone_number": "570-773-1455",
            "fax_number": "570-773-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZNAK",
        "first_name": "VALERIE",
        "middle_name": "ANN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP442896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahanoy City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.