Individual provider Active NPI

Donald A. Yozzo II, PHARMACIST

  • Pharmacist
  • Herkimer, NY
National Provider Identifier
1306028592
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
047107 Issued in NY
Practice address
323 E Albany St
323 East Albany St
Herkimer, NY 13350-2016
Phone
(315) 866-0274
NPI assigned
Nov 29, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 047107 NY Primary

Addresses

Primary practice location

323 E Albany St
323 East Albany St
Herkimer, NY 13350-2016

Mailing address

307 4TH Ave
307 Fourth Ave
Frankfort, NY 13340-1407
Phone (315) 894-8302

Other identifiers 1

IdentifierTypeStateIssuer
00572665MedicaidNY

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

LicenseStateTypeSpecialty
047107NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1306028592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 4TH AVE",
            "address_2": "307 FOURTH AVE",
            "city": "FRANKFORT",
            "state": "NY",
            "postal_code": "133401407",
            "telephone_number": "315-894-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E ALBANY ST",
            "address_2": "323 EAST ALBANY ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502016",
            "telephone_number": "315-866-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOZZO",
        "first_name": "DONALD",
        "middle_name": "A.",
        "name_suffix": "II",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00572665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.