Individual provider Active NPI

Paul G Kuzner, RPH.

  • Pharmacist
  • Macomb, MI
National Provider Identifier
1184706137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302411137 Issued in MI
Practice address
16828 21 Mile Rd
Macomb, MI 48044-2601
Phone
(586) 263-9100
Fax
(586) 263-4455
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302411137 MI Primary

Addresses

Primary practice location

16828 21 Mile Rd
Macomb, MI 48044-2601

Mailing address

52757 Florence Dr
Shelby Township, MI 48315-2078
Phone (586) 739-3004

Other identifiers 1

IdentifierTypeStateIssuer
5302411137OtherMIPHARMACIST LICENSE NUMBER

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302411137MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloch Drugs Co Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184706137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52757 FLORENCE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152078",
            "telephone_number": "586-739-3004",
            "fax_number": "586-263-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16828 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442601",
            "telephone_number": "586-263-9100",
            "fax_number": "586-263-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNER",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302411137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "5302411137",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

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.

Verify at the official NPI Registry.