Active NPI
Michael D Mozdzierz, RPH
- Pharmacist
- Royal Palm Beach, FL
National Provider Identifier
1508140732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25560
- Practice address
- 12001 Southern Blvd
Royal Palm Beach, FL 33470 - Phone
- (561) 784-7407
- NPI assigned
- Oct 6, 2011
- Last updated
- Oct 6, 2011
- Sex
- Male
- 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 | 25560 | FL | Primary |
Addresses
Primary practice location
12001 Southern Blvd
Royal Palm Beach, FL 33470
Mailing address
12001 Southern BLVV
Royal Palm Beach, FL 33470
Phone (561) 784-7407
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25560 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1508140732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12001 SOUTHERN BLVV",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "33470",
"telephone_number": "561-784-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 SOUTHERN BLVD",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "33470",
"telephone_number": "561-784-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOZDZIERZ",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "25560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.