Individual provider Active NPI

Shanna Nicole Rozier, PHARMD

  • Pharmacist
  • Lake Park, GA
National Provider Identifier
1770149882
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH028336 Issued in GA
Practice address
1060 Lakes Blvd
Lake Park, GA 31636-3013
Phone
(229) 559-7736
Fax
(229) 559-3190
NPI assigned
May 14, 2019
Last updated
May 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH028336 GA Primary

Addresses

Primary practice location

1060 Lakes Blvd
Lake Park, GA 31636-3013

Mailing address

1060 Lakes Blvd
Lake Park, GA 31636-3013
Phone (229) 559-7736

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH028336GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1770149882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 LAKES BLVD",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316363013",
            "telephone_number": "229-559-7736",
            "fax_number": "229-559-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 LAKES BLVD",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316363013",
            "telephone_number": "229-559-7736",
            "fax_number": "229-559-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZIER",
        "first_name": "SHANNA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH028336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.