Stephanie Koza

Primary specialty

PharmacistTaxonomy code 183500000X

License

0019889 Issued in OR

Practice address

8145 SE 17TH Ave
Portland, OR 97202-6718

Phone

(503) 382-2253

NPI assigned

Jan 23, 2024

Sex

Female

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

State licenses

Practice roles

Locations

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

• Oregon CVS Pharmacy LLC

  • Pharmacy
  • Portland, OR
  • NPI 1386294379
  NPD
• Oregon CVS Pharmacy LLC

  • Pharmacy
  • Bend, OR
  • NPI 1497864771
  NPD (past)

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1548021876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8145 SE 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026718",
            "telephone_number": "503-382-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 SE 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026718",
            "telephone_number": "503-382-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0019889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kowalski, IDHS
• Kowell Consulting LLC
• Natalie Kowell, RD
• Arthur Eugene Kowitch, PH.D.
• Nirvana Kowlessar-Hirshleifer, MA
• John Edward Kozel, LAC
• Alina D Kozinchenko
• Melissa Koziol, PA-C
• Amber Kozlov
• Eva B Kozlowski, LE, CPE

• All providers in Portland, OR
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.