Individual provider Active NPI

Sabrina Marie Mozzillo, R.PH.

  • Pharmacist
  • Brooklyn, NY
National Provider Identifier
1992973697
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
049329 Issued in NY
Practice address
2259 E 71St St
Brooklyn, NY 11234-6523
Phone
(347) 386-0286
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 049329 NY Primary

Addresses

Primary practice location

2259 E 71St St
Brooklyn, NY 11234-6523

Mailing address

2259 E 71St St
Brooklyn, NY 11234-6523
Phone (347) 386-0286

Other names 1

  • Mrs. Sabrina Marie Azzarelli Former name

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

State licenses

LicenseStateTypeSpecialty
049329NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Waldbaum Inc Past Accepting new patients
Waldbaum Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1992973697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 E 71ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346523",
            "telephone_number": "347-386-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 E 71ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346523",
            "telephone_number": "347-386-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZZILLO",
        "first_name": "SABRINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "AZZARELLI",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "R.PH.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.