Active NPI
Thomas Michael Corazzo
- Pharmacist
- Mooresville, NC
National Provider Identifier
1245360122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4695
- Practice address
- 218 Patternote Rd
Mooresville, NC 28117-5911 - Phone
- (704) 660-5050
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4695 | CT | Primary |
Addresses
Primary practice location
218 Patternote Rd
Mooresville, NC 28117-5911
Mailing address
218 Patternote Rd
Mooresville, NC 28117-5911
Phone (704) 660-5050
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4695 | CT | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245360122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 PATTERNOTE RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175911",
"telephone_number": "704-660-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 PATTERNOTE RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175911",
"telephone_number": "704-660-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORAZZO",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "4695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
- Cook Performance & Therapy (Adapt Performance & Training)
- Joshua Manning Cook, DMD
- Bryan Hartsfield Cooley Jr.
- Courtney Nicole Coombe, FNP-BC
- Charlotte Copper, LCMHC-A
- Erin Melissa Corbett, LCMHC
- Tiffany Corbett, LCMHC, LCAS
- Brittania Corbitt, NP
- Mary Elizabeth Weaver Corey, PA-C
- Elizabeth Echeverria Correll, MA
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.