Individual provider Active NPI

Rosemarie Moretuzzo Burgholzer, RPH

  • Pharmacist
  • Amherst, NY
National Provider Identifier
1467662221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31521 Issued in NY
Practice address
4968 Harlem Rd
Amherst, NY 14226-2560
Phone
(716) 837-9218
Fax
(716) 839-3408
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 31521 NY Primary

Addresses

Primary practice location

4968 Harlem Rd
Amherst, NY 14226-2560

Mailing address

81 Olney Dr
Amherst, NY 14226-3344
Phone (716) 837-9218

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

LicenseStateTypeSpecialty
31521NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467662221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 OLNEY DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263344",
            "telephone_number": "716-837-9218",
            "fax_number": "716-839-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4968 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262560",
            "telephone_number": "716-837-9218",
            "fax_number": "716-839-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGHOLZER",
        "first_name": "ROSEMARIE",
        "middle_name": "MORETUZZO",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "31521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.