Active NPI
David Alan Kotzin, RPH,M.S.
- Pharmacist
- Crofton, MD
National Provider Identifier
1346558293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10932
- Practice address
- 1649 Crofton Ctr
Crofton, MD 21114-1330 - Phone
- (410) 793-0325
- Fax
- (410) 793-0357
- NPI assigned
- Sep 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 10932 | MD | Primary |
Addresses
Primary practice location
1649 Crofton Ctr
Crofton, MD 21114-1330
Mailing address
1649 Crofton Ctr
Crofton, MD 21114-1330
Phone (410) 793-0325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10932 | Other | MD | PHARMACY LICENSE |
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
- Credentials
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10932 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1346558293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 CROFTON CTR",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141330",
"telephone_number": "410-793-0325",
"fax_number": "410-793-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1649 CROFTON CTR",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141330",
"telephone_number": "410-793-0325",
"fax_number": "410-793-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTZIN",
"first_name": "DAVID",
"middle_name": "ALAN",
"credential": "RPH,M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "10932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "10932",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.