Active NPI
David Francis Brzozowski, M.S, R.PH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- New Haven, CT
National Provider Identifier
1609013986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 6700
- Practice address
- 17 Hillhouse Ave
New Haven, CT 06511-8965 - Phone
- (203) 432-4495
- Fax
- (203) 432-2912
- NPI assigned
- Jan 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 6700 | CT | Primary |
Addresses
Primary practice location
17 Hillhouse Ave
New Haven, CT 06511-8965
Mailing address
45 Twin Oak Farm Rd
Wallingford, CT 06492-5338
Phone (203) 432-4495
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6700 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1609013986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 TWIN OAK FARM RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064925338",
"telephone_number": "203-432-4495",
"fax_number": "203-432-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 HILLHOUSE AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065118965",
"telephone_number": "203-432-4495",
"fax_number": "203-432-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRZOZOWSKI",
"first_name": "DAVID",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "M.S, R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-08",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CT",
"license": "6700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.