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Medizine Man Inc.

NPI 1215519889ActiveOrganization· Pharmacy, Specialty Pharmacy· Brighton, CO

Pharmacy, Specialty Pharmacy in Brighton, Colorado, registered in NPPES in April 2021, part of Medizine Man Inc. The authorized official on file is Thomas Paul Gierwatoski, R.PH., President.

Overview

NPI1215519889
StatusActive
Entity typeOrganization (subpart)
Parent organizationMedizine Man Inc.
NPI issuedApr 23, 2021
Last updated in NPPESApr 23, 2021
Certified by providerApr 23, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Specialty Pharmacy Primary3336S0011X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years