Active NPI
Laura Kozoyed Jordan, RPH
- Pharmacist
- Norfolk, VA
National Provider Identifier
1376686071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202009102
- Practice address
- 231 E 39TH St
Norfolk, VA 23504-1003 - Phone
- (757) 613-1583
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- 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 | 0202009102 | VA | Primary |
Addresses
Primary practice location
231 E 39TH St
Norfolk, VA 23504-1003
Mailing address
231 E 39TH St
Norfolk, VA 23504-1003
Phone (757) 613-1583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202009102 | Other | VA | PHARMACY LICENSE |
Other names 1
- Laura Lee Kozoyed
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202009102 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1376686071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 E 39TH ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235041003",
"telephone_number": "757-613-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E 39TH ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235041003",
"telephone_number": "757-613-1583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "LAURA",
"middle_name": "KOZOYED",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202009102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "0202009102",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "KOZOYED",
"middle_name": "LEE",
"credential": "PHARMACIST",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.