Active NPI
William John Mazanec, PHARM D
- Pharmacist
- Winter Park, FL
National Provider Identifier
1497734354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS22684
- Practice address
- 1229 Alexa Dr
Winter Park, FL 32789-5914 - Phone
- (407) 539-2858
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS22684 | FL | Primary |
| Pharmacist | 183500000X | 19803 | MA | |
| Pharmacist | 183500000X | PS 22684 | FL | |
| Pharmacotherapy Pharmacist | 1835P1200X | PU 3626 | FL | |
| Pharmacotherapy Pharmacist | 1835P1200X | 19803 | MA |
Addresses
Primary practice location
1229 Alexa Dr
Winter Park, FL 32789-5914
Mailing address
1229 Alexa Dr
Winter Park, FL 32789-5914
Phone (407) 539-2858
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 |
|---|---|---|---|
| PS 22684 | FL | MD | Pharmacist |
| PS22684 | FL | MD | Pharmacist |
| PU 3626 | FL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1497734354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 ALEXA DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327895914",
"telephone_number": "407-539-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 ALEXA DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327895914",
"telephone_number": "407-539-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZANEC",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS22684",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "19803",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 22684",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PU 3626",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MA",
"license": "19803",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
- Mayflower Home Health Agency, LLC
- Mayflower Retirement Center Inc. Dba Mayflower Healthcare Center
- Malinda Mayhood, PHARM.D.
- Moses Aaron Maylor Sr., M.A.
- Susan Mays, M.S. CCC-SLP
- Felipe Elias MC Innis Meneses, P.A.
- Matthew K McAlister II, D.O.
- Jordon McArthur, PT, DPT
- Morgan Elizabeth McBee, APRN
- Kaley McBratney, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.