Cheryl Legault Mazurek, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302020813 Issued in MI

Practice address

4000 Eastern Sky Dr
Suite 1
Traverse City, MI 49684-4051

Phone

(231) 947-6921

NPI assigned

Apr 17, 2007

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

Other names 1

• Ms. Cheryl Frances Legault Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710103205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7966 S SCHOMBERG RD",
            "city": "CEDAR",
            "state": "MI",
            "postal_code": "496219702",
            "telephone_number": "231-228-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EASTERN SKY DR",
            "address_2": "SUITE 1",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844051",
            "telephone_number": "231-947-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUREK",
        "first_name": "CHERYL",
        "middle_name": "LEGAULT",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302020813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "LEGAULT",
            "middle_name": "FRANCES",
            "prefix": "MS.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grant David Mayer, R.PH.
• Sharon Mayer, MSW
• Mayes Chiropractic, P.C.
• Carrie A. Mayes, D.C.
• Amelia Ann Mayhew, LLMSW
• Mickey McAfee
• Janice L McAllister, CNM
• Alicia L McAndrews, LPC
• Lynn McAndrews, PHD
• Peter Thomas McAndrews III, DO

• Pharmacist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.