Active NPI
Dorothy Maziarz, PHARMD
- Pharmacist
- Bloomingdale, IL
National Provider Identifier
1376823096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051292328
- Practice address
- 180 E Lake St
Pharmacy
Bloomingdale, IL 60108-1129 - Phone
- (630) 894-3276
- Fax
- (630) 894-1292
- NPI assigned
- Aug 25, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 051292328 | IL | Primary |
Addresses
Primary practice location
180 E Lake St
Pharmacy
Bloomingdale, IL 60108-1129
Mailing address
180 E Lake St
Bloomingdale, IL 60108-1129
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051292328 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1376823096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 E LAKE ST",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 E LAKE ST",
"address_2": "PHARMACY",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081129",
"telephone_number": "630-894-3276",
"fax_number": "630-894-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZIARZ",
"first_name": "DOROTHY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-25",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051292328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.