Individual provider Active NPI

Craig J. Brozek, R.PH., D.PH.

  • Pharmacotherapy Pharmacist
  • N. Tonawanda, NY
National Provider Identifier
1912964198
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
027669 Issued in NY
Practice address
445 Tremont St.
N. Tonawanda, NY 14120
Phone
(716) 690-2233
Fax
(716) 690-2582
NPI assigned
Apr 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 027669 NY Primary

Addresses

Primary practice location

445 Tremont St.
N. Tonawanda, NY 14120

Mailing address

445 Tremont St.
North Tonawanda, NY 14120
Phone (716) 690-2233

Other identifiers 1

IdentifierTypeStateIssuer
027669OtherNYPHARMACIST LICENSE

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
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1146355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1912964198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 TREMONT ST.",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "14120",
            "telephone_number": "716-690-2233",
            "fax_number": "716-690-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 TREMONT ST.",
            "city": "N. TONAWANDA",
            "state": "NY",
            "postal_code": "14120",
            "telephone_number": "716-690-2233",
            "fax_number": "716-690-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZEK",
        "first_name": "CRAIG",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "R.PH., D.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-30",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "027669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "027669",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N. Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.