Phillip E Bozovich, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

12541 Issued in NC

Practice address

301 E Wendover Ave
Suite 115
Greensboro, NC 27401-1230

Phone

(336) 272-7255

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• The Moses H. Cone Memorial Hospital Operating Corporation

  • Community/Retail Pharmacy
  • Greensboro, NC
  • NPI 1588751788
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245449750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 CASTING WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553435",
            "telephone_number": "336-540-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE",
            "address_2": "SUITE 115",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011230",
            "telephone_number": "336-272-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZOVICH",
        "first_name": "PHILLIP",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "12541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadassah Boykin
• Jessica Boylan
• Daniel Patrick Boyle, M.D.
• Marsheta Andrea' Boyton
• Michelle Bennett Bozovich, PHARMD
• Conrad Donald Braaten, DO
• Vance Wells Brabham IV, M.D.
• Kennitrish Nickola Bracey, DNP, APRN, AGNP-C
• Thomas Andrew Brackbill, M.D.
• Alisha Nicole Bracken, CRNA

• Pharmacist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pharmacist in North Carolina

• 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.