Active NPI
Henry T Kozek, RPH, MPA
- Pharmacist
- Williamsburg, VA
National Provider Identifier
1205821840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202207627
- Practice address
- 4179 Winthrop Cir
Williamsburg, VA 23188-7611 - Phone
- (757) 707-3344
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI01394100 | NJ | |
| Pharmacist | 183500000X | 0202207627 | VA | Primary |
Addresses
Primary practice location
4179 Winthrop Cir
Williamsburg, VA 23188-7611
Mailing address
4179 Winthrop Cir
Williamsburg, VA 23188-7611
Phone (757) 707-3344
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 |
|---|---|---|---|
| 28RI01394100 | NJ | MD | Pharmacist |
| 0202207627 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1205821840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4179 WINTHROP CIR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231887611",
"telephone_number": "757-707-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4179 WINTHROP CIR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231887611",
"telephone_number": "757-707-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZEK",
"first_name": "HENRY",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "RPH, MPA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01394100",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.