Daniel Mazurovsky, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

22766 Issued in AL

Practice address

1270 W Main St
Dothan, AL 36301-1414

Phone

(334) 793-2374

NPI assigned

Nov 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Alabama CVS Pharmacy LLC

  • Pharmacy
  • Auburn, AL
  • NPI 1619668076
  NPD (past)

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1821705468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011414",
            "telephone_number": "334-793-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011414",
            "telephone_number": "334-793-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUROVSKY",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63231",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "22766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Maye, LPC
• Charles E Mayes Jr., MD
• Rafael David Mayor, M.D.
• Aline M Mays, LMFT #578
• Sahar Rania Mazhar
• Earle F Mazyck, M.D.
• Allison Renee McAllister, C.R.N.P.
• John Michael McAllister, DO
• Michael Scott McAllister, M.D.
• John Nathaniel McAnulty, LPC-S

• Pharmacist in Dothan, AL
• Providers in Dothan, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.