Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396012050 Individual Practitioner Female Practitioner

Dr. Mariam Mozaffar , PharmD

Pharmacist • West Bend, WI

Professional Overview & Biography Verified Profile Summary

Dr. Mariam Mozaffar, PharmD is a registered healthcare professional specializing in Pharmacist in West Bend, WI. Practice services are available at 1921 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1921 S Main St

West Bend, WI 530955206

Telephone 2623381156
Fax 2623382497
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1093720989

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in West Bend, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
46 Specialists

Practicing in West Bend, WI (5503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 15755-040

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1124395041

Doctor of Pharmacy (Pharm.D.)

NPI 1396169553

Doctor of Pharmacy (Pharm.D.)

NPI 1548537343

Registered Pharmacist

NPI 1982238481

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2011

Registered at 1921 S MAIN ST, WEST BEND, WI 530955206 (Tel: 2623381156)

📍
Updated Business Mailing Address November 23, 2011

Registered at 1921 S MAIN ST, WEST BEND, WI 530955206 (Tel: 2623381156)

👤
Provider Name / Credentials Updated November 23, 2011

Recorded as MARIAM MOZAFFAR, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2011

Pharmacist (License #15755-040 in WI)

🟢
Initial NPI Registration & Enumeration November 23, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396012050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2011
Last Update: November 23, 2011
Sole Proprietor: Yes

Mailing Address

1921 S Main St

West Bend, WI 530955206

Phone: 2623381156

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.