David E Bozone Jr., R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

E5004 Issued in MS

Practice address

5760 Highway 80 E
Pearl, MS 39208-8930

Phone

(601) 664-0202

Fax

(601) 664-0730

NPI assigned

Sep 24, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. David E Bozone Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1154630143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088930",
            "telephone_number": "601-664-0202",
            "fax_number": "601-664-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392088930",
            "telephone_number": "601-664-0202",
            "fax_number": "601-664-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZONE",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E5004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330589",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "BOZONE",
            "middle_name": "E",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "R.PH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pharmacist in Pearl, MS
• Providers in Pearl, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.