Active NPI
Kelsey Cozzolino, PHARMD
- Pharmacist
- Peoria, AZ
National Provider Identifier
1821868308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026776
- Practice address
- 9050 W Union Hills Dr
Peoria, AZ 85382-3023 - Phone
- (623) 566-1986
- NPI assigned
- Jan 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S026776 | AZ | Primary |
Addresses
Primary practice location
9050 W Union Hills Dr
Peoria, AZ 85382-3023
Mailing address
10621 W Angels LN
Peoria, AZ 85383-1722
Phone (623) 313-1252
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
| License | State | Type | Specialty |
|---|---|---|---|
| S026776 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1821868308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10621 W ANGELS LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853831722",
"telephone_number": "623-313-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9050 W UNION HILLS DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823023",
"telephone_number": "623-566-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZZOLINO",
"first_name": "KELSEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-04",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.