Koz-Laz Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054013977 Issued in IL

Legal business name

KOZ-LAZ INCORPORATED

Doing business as

Archer Pharmacy

Practice address

6456 W Archer Ave
Chicago, IL 60638-2537

Phone

(773) 586-1134

Fax

(773) 586-1151

NPI assigned

Aug 31, 2006

Last updated

Oct 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Lazzara, RPH

Title

President and Owner

Phone

(773) 586-1134

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ARCHER PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eva M Kozlowski, PHARMD

  • Pharmacist
  • Lindenhurst, IL
  • NPI 1609698828
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1265544100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6456 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382537",
            "telephone_number": "773-586-1134",
            "fax_number": "773-586-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6456 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382537",
            "telephone_number": "773-586-1134",
            "fax_number": "773-586-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOZ-LAZ INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "LAZZARA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "773-586-1134",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054013977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1469368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCHER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susanne Kowalsky
• Casey Kowitz, PA
• Miki Koyama, PHD
• Yuka Koyama
• Jay Lawrence Koyner, M.D.
• Barbara Kozak, PTA
• Justin Kozak
• Kyle Kozak, MD
• Liana N Kozanno, MD, PHD
• Katherine Leigh Kozarek, M.D.

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.