Robert J Koziol, PHARM D

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

112443 Issued in MN

Practice address

20751 Holyoke Ave
Box 808
Lakeville, MN 55044-0808

Phone

(952) 469-2964

Fax

(952) 469-6753

NPI assigned

Dec 10, 2007

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

Practice roles

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.

• Erickson Drug Inc

  • Community/Retail Pharmacy
  • Lakeville, MN
  • NPI 1629159736
  NPD (past) Authorized official

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1619150919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20751 HOLYOKE AVE",
            "address_2": "PO BOX 808",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550440808",
            "telephone_number": "952-469-2964",
            "fax_number": "952-469-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20751 HOLYOKE AVE",
            "address_2": "BOX 808",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550440808",
            "telephone_number": "952-469-2964",
            "fax_number": "952-469-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIOL",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MN",
            "license": "112443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Tiffany Kooistra-Cass, M.S., BCBA
• Kenneth Joseph Kossack, RPH
• Kota Connections, Inc.
• Stephanie Kotelnicki, LAMFT
• Tracy Kotval, MA, L.P.C.C.
• William Louden Krane
• Jennifer J. Krieg, PA
• Heather R Krueger, MD
• Kelly Krueger, APRN, CNP
• Tyler Morgan Kruse, DC

• Pharmacotherapy Pharmacist in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Pharmacotherapy Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.