Individual provider Active NPI

Carol Ann Brozek, PHARM.D.

  • Pharmacist
  • Columbia, MD
National Provider Identifier
1982487005
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16049 Issued in MD
Practice address
7150 Columbia Gateway Dr Ste E
Columbia, MD 21046-2273
Phone
(877) 674-9700
Fax
(949) 462-8713
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH23215 MA
Pharmacist 183500000X 023725 KY
Pharmacist 183500000X 18012 NE
Pharmacist 183500000X 51.394934 IL
Pharmacist 183500000X 2022039210 MO
Pharmacist 183500000X 5302029078 MI
Pharmacist 183500000X RP456235 PA
Pharmacist 183500000X RPH-0019614 OR
Pharmacist 183500000X 3442992 OH
Pharmacist 183500000X 16049 MD Primary

Addresses

Primary practice location

7150 Columbia Gateway Dr Ste E
Columbia, MD 21046-2273

Mailing address

7150 Columbia Gateway Dr Ste E
Columbia, MD 21046-2273
Phone (877) 674-9700

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
51.394934ILMDPharmacist
023725KYMDPharmacist
PH23215MAMDPharmacist
16049MDMDPharmacist
5302029078MIMDPharmacist
2022039210MOMDPharmacist
3442992OHMDPharmacist
RPH-0019614ORMDPharmacist
RP456235PAMDPharmacist
18012NEMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coram Healthcare Corporation of Greater DC PastSince Aug 27, 2023 Accepting new patients
Igg of America, Inc. PastSince Aug 27, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1982487005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 COLUMBIA GATEWAY DR STE E",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462273",
            "telephone_number": "877-674-9700",
            "fax_number": "949-462-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 COLUMBIA GATEWAY DR STE E",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462273",
            "telephone_number": "877-674-9700",
            "fax_number": "949-462-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZEK",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH23215",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "023725",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "18012",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "51.394934",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2022039210",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302029078",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP456235",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0019614",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "3442992",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "16049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

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

Verify at the official NPI Registry.