Active NPI
Enzo Bolzan, PHARMD
- Pharmacist
- Brecksville, OH
National Provider Identifier
1902189467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03227967
- Practice address
- 9200 Treeworth Blvd
Brecksville, OH 44141-2591 - Phone
- (216) 957-9063
- NPI assigned
- Sep 21, 2011
- Last updated
- Jul 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 03227967 | OH | Primary |
Addresses
Primary practice location
9200 Treeworth Blvd
Brecksville, OH 44141-2591
Mailing address
9200 Treeworth Blvd
Brecksville, OH 44141-2591
Phone (216) 957-9063
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 |
|---|---|---|---|
| 03227967 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688428800000",
"number": "1902189467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 TREEWORTH BLVD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441412591",
"telephone_number": "216-957-9063",
"fax_number": "216-957-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 TREEWORTH BLVD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441412591",
"telephone_number": "216-957-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLZAN",
"first_name": "ENZO",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2023-07-04",
"certification_date": "2023-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03227967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.