Active NPI
Lisa Mazarik, RPH
- Pharmacist
- Tampa, FL
National Provider Identifier
1194159459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS24956
- Practice address
- 2103 N Rome Ave
Tampa, FL 33607-3509 - Phone
- (813) 490-1426
- NPI assigned
- Aug 22, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS24956 | FL | Primary |
| Pharmacist | 183500000X | 13485 | NV | |
| Pharmacist | 183500000X | 37772 | TX | |
| Pharmacist | 183500000X | 03318412 | OH |
Addresses
Primary practice location
2103 N Rome Ave
Tampa, FL 33607-3509
Mailing address
2103 N Rome Ave
Tampa, FL 33607-3509
Phone (813) 490-1426
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS24956 | FL | MD | Pharmacist |
| 03318412 | OH | MD | Pharmacist |
| 37772 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1194159459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 N ROME AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336073509",
"telephone_number": "813-490-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 N ROME AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336073509",
"telephone_number": "813-490-1426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZARIK",
"first_name": "LISA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS24956",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "13485",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "37772",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03318412",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.