Individual provider Active NPI

Anthony Nazzoli, PHARM D

  • Pharmacist
  • Webster Groves, MO
National Provider Identifier
1144503160
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2007024427 Issued in MO
Practice address
8571 Watson Rd
Webster Groves, MO 63119-5218
Phone
(314) 962-5545
Fax
(314) 968-1704
NPI assigned
Sep 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 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 2007024427 MO Primary

Addresses

Primary practice location

8571 Watson Rd
Webster Groves, MO 63119-5218

Mailing address

8571 Watson Rd
Webster Groves, MO 63119-5218
Phone (314) 962-5545

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
2007024427MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1144503160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 WATSON RD",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631195218",
            "telephone_number": "314-962-5545",
            "fax_number": "314-968-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8571 WATSON RD",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631195218",
            "telephone_number": "314-962-5545",
            "fax_number": "314-968-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZZOLI",
        "first_name": "ANTHONY",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2007024427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Groves, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.