Individual provider Active NPI

Marie Buza

  • Pharmacist
  • Ontario, CA
National Provider Identifier
1639587322
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
52788 Issued in CA
Practice address
951 N Milliken Ave
Ontario, CA 91764-5008
Phone
(909) 476-9083
Fax
(909) 476-9044
NPI assigned
Jul 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52788 CA Primary

Addresses

Primary practice location

951 N Milliken Ave
Ontario, CA 91764-5008

Mailing address

951 N Milliken Ave
Ontario, CA 91764-5008
Phone (909) 476-9083

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

NPI Registry JSON

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1639587322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 N MILLIKEN AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645008",
            "telephone_number": "909-476-9083",
            "fax_number": "909-476-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 N MILLIKEN AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645008",
            "telephone_number": "909-476-9083",
            "fax_number": "909-476-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZA",
        "first_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "52788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.