Maryann Collazo

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP450305 Issued in PA

Practice address

8310 Easton Rd
Ottsville, PA 18942-9687

Phone

(610) 847-5915

NPI assigned

Dec 10, 2020

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cvs08967@cvshealth.com

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.

• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Ottsville, PA
  • NPI 1639400559
  NPD (past)

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1285230573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BEDFORD AVE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013026",
            "telephone_number": "201-406-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 EASTON RD",
            "city": "OTTSVILLE",
            "state": "PA",
            "postal_code": "189429687",
            "telephone_number": "610-847-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "MARYANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP450305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CVS08967@CvsHealth.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "201-406-4938",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "8310 Easton Rd",
            "city": "Ottsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189429687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "8310 Easton Rd",
            "city": "Ottsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189429687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arva Medical Specialties, PC
• Amanda Bladt
• Marc Warren Bloom, D.C.
• Michael Eric Brannon, D.C.
• Chironetics International Incorporated
• Daniel D Galyon, M.D.
• Brianna Gomez, PT, DPT
• Lauren Gordon, CRNP
• Marie Gustafson, RN
• Marianne Harms, LCSW

• Pharmacist in Ottsville, PA
• Providers in Ottsville, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.