Michelle Rose Avezzano, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

065730 Issued in NY

Practice address

9679 Brewerton Rd
Brewerton, NY 13029-8796

Phone

(315) 676-4441

NPI assigned

Dec 3, 2019

Last updated

May 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Brewerton Pharmacy Inc

  dba Brewerton Pharmacy

  • Community/Retail Pharmacy
  • Brewerton, NY
  • NPI 1407950462
  NPD (past)

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1205473758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 BLACK WILLOW",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903601",
            "telephone_number": "315-418-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9679 BREWERTON RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298796",
            "telephone_number": "315-676-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVEZZANO",
        "first_name": "MICHELLE",
        "middle_name": "ROSE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Albertin
• BC Chiropractic Offices PC
• Jamie Bishop, M.S.
• Thomas Blount, DDS
• Dalaine Bouthillier, LPN
• Ann Marie Bower, RN

• Pharmacist in Brewerton, NY
• Providers in Brewerton, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.