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MATTHEW MAZUR PHARMD
NPI 1275168791
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Green Bay, WI

Active since March 04, 2020
1819 MAIN ST, GREEN BAY, WI 54302(920) 469-3436 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2026, Mar 4, 2020 (2 updates tracked since 2020).

About Matthew Mazur Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW MAZUR PHARMD (NPI 1275168791) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Green Bay, Wisconsin, licensed in Wisconsin (18360-40) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1275168791
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMATTHEW MAZURCredential: PHARMD
Location Address1819 MAIN STGreen Bay, WI 54302-3918
Mailing Address1819 Main StGreen Bay, WI 54302-3918
Phone(920) 469-3436
Sole ProprietorYes
Enumeration DateMarch 4, 2020
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1275168791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in WI · 18360-40
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1819 MAIN ST, Green Bay, WI 54302
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROUNDYS SUPERMARKETS INC
Pharmacy (Community/Retail Pharmacy)
1819 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 469-3436
MEGAN OUPATIGA MOSS PHARMD
Pharmacist
1819 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 469-3436
STACEY CHEVALIER
Pharmacist
1819 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 469-3436

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Mazur's NPI number?

The NPI number for Matthew Mazur is 1275168791. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Matthew Mazur located?

Matthew Mazur practices at 1819 Main St, Green Bay, WI 54302. The listed phone number is (920) 469-3436.

What is Matthew Mazur's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Matthew Mazur was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.