Individual provider Active NPI

Sarah Emily Bazurto, PHARM D

  • Pharmacist
  • Madison, WI
National Provider Identifier
1477844173
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14926 Issued in WI
Practice address
8202 Excelsior Dr
Mail Order Pharmacy
Madison, WI 53717-1906
Phone
(608) 441-3289
Fax
(608) 662-5095
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14926 WI Primary

Addresses

Primary practice location

8202 Excelsior Dr
Mail Order Pharmacy
Madison, WI 53717-1906

Mailing address

8202 Excelsior Dr
Mail Order Pharmacy
Madison, WI 53717-1906
Phone (608) 441-3289

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

LicenseStateTypeSpecialty
14926WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1477844173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 EXCELSIOR DR",
            "address_2": "MAIL ORDER PHARMACY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171906",
            "telephone_number": "608-441-3289",
            "fax_number": "608-662-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 EXCELSIOR DR",
            "address_2": "MAIL ORDER PHARMACY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171906",
            "telephone_number": "608-441-3289",
            "fax_number": "608-662-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZURTO",
        "first_name": "SARAH",
        "middle_name": "EMILY",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.