Individual provider Active NPI

Joshua Dozak, PHARMD

  • Pharmacist
  • Wheaton, MN
National Provider Identifier
1497345896
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
118594 Issued in MN
Practice address
1105 Broadway
Wheaton, MN 56296-1307
Phone
(320) 563-4151
Fax
(320) 563-4577
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 118594 MN Primary

Addresses

Primary practice location

1105 Broadway
Wheaton, MN 56296-1307

Mailing address

1105 Broadway
Wheaton, MN 56296-1307
Phone (320) 563-4151

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
118594MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dozak Drug LLC CurrentSince Jan 24, 2021 Accepting new patients
Wheaton Drug Comapny PastSince Jan 24, 2021 Accepting new patients

Locations

1105 Broadway
Wheaton, MN 56296
Phone (320) 563-4151

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1497345896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BROADWAY",
            "city": "WHEATON",
            "state": "MN",
            "postal_code": "562961307",
            "telephone_number": "320-563-4151",
            "fax_number": "320-563-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BROADWAY",
            "city": "WHEATON",
            "state": "MN",
            "postal_code": "562961307",
            "telephone_number": "320-563-4151",
            "fax_number": "320-563-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZAK",
        "first_name": "JOSHUA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.