Michael Richard Izzo, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

065600 Issued in NY

Practice address

3666 St Rte 281
Cortland, NY 13045-3576

Phone

(607) 753-9359

Fax

(607) 758-9569

NPI assigned

Aug 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1508411810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3666 ST RTE 281",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453576",
            "telephone_number": "607-753-9359",
            "fax_number": "607-758-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3666 ST RTE 281",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453576",
            "telephone_number": "607-753-9359",
            "fax_number": "607-758-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Reservoir Rd",
            "address_purpose": "LOCATION",
            "city": "Little Falls",
            "state": "NY",
            "postal_code": "133655924",
            "country_code": "US",
            "telephone_number": "315-360-3914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZZO",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "065600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Hutton
• Christopher Hyde
• Peter R Iannotta, R.P.A.-C
• Garrett Imbrenda, LMSW
• William G Innerst, RPH
• J. M. Murray Center, Inc.
• Jack T. Sproul, MD PC
• Carrie Rose Klotz Jackson, MD
• Joseph Jacobi
• Jacobus Center for Reproductive Health

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Cortland, NY
• Providers in Cortland, NY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.