Individual provider Active NPI

Koehler Zakai Machlus

  • Pharmacist
  • Bradenton, FL
National Provider Identifier
1629833819
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62870 Issued in FL
Practice address
1504 53Rd Ave E
Bradenton, FL 34203-4248
Phone
(941) 752-0705
NPI assigned
Feb 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62870 FL Primary

Addresses

Primary practice location

1504 53Rd Ave E
Bradenton, FL 34203-4248

Mailing address

1843 Whitewillow Dr
Wesley Chapel, FL 33543-5483
Phone (813) 244-6351

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

State licenses

LicenseStateTypeSpecialty
62870FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Feb 18, 2024 Accepting new patients
Walgreen Co PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1629833819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 WHITEWILLOW DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435483",
            "telephone_number": "813-244-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034248",
            "telephone_number": "941-752-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHLUS",
        "first_name": "KOEHLER",
        "middle_name": "ZAKAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "62870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.