MARY P PETRUZZI (NPI# 1356469167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356469167 |
| Entity Type | Individual |
| Full Name | MARY P PETRUZZI |
| Credential | R.PH |
| Practice Address |
78 Elizabeth St South Windsor CT 06074-3411 |
| Practice Telephone | 8605285019 |
| Mailing Telephone | 8605285019 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4064 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922048073 | Mary Petruzzi | Nurse Practitioner | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2006-06-07 |
| 1639252075 | Mary Jane Petruzzi | Pediatrics | 219 Bryant St, Buffalo, NY 14222-2006 | 2006-10-21 |
| Street Address |
78 ELIZABETH ST |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213770 | Mark Peter Petruzzi | Pharmacist | 78 Elizabeth St, South Windsor, CT 06074-3411 | 2005-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841856226 | Eric Michael Heckt | Pharmacist | 3 French Rd, South Windsor, CT 06074-3758 | 2019-05-12 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1003134743 | Tanya Anne Spiller | Pharmacist | 25 Case Hill Cir, South Windsor, CT 06074-3533 | 2010-05-05 |
| 1043213770 | Mark Peter Petruzzi | Pharmacist | 78 Elizabeth St, South Windsor, CT 06074-3411 | 2005-05-26 |
| 1356981146 | Linda T Osei | Pharmacist | 525 Buckland Rd, South Windsor, CT 06074-3746 | 2020-01-09 |
| 1598202822 | Justin Smith | Pharmacist | 525 Buckland Rd, South Windsor, CT 06074-3746 | 2017-01-25 |
| 1548618440 | Sonam Sutaria | Pharmacist | 525 Buckland Rd, South Windsor, CT 06074-3746 | 2016-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911966 | Brittany Mary Travis | Pharmacist | 444 Center St # 117, Manchester, CT 06040-3926 | 2020-10-29 |
| 1306445036 | Lauren Sutyla Zeni | Pharmacist | 43 Parkwood Rd, Trumbull, CT 06611-3230 | 2020-10-23 |
| 1205434560 | Jessica Mcallister | Pharmacist | 23a Killingworth Rd, Higganum, CT 06441-4242 | 2020-10-09 |
| 1003420340 | Katie Ann Laskin | Pharmacist | 100 Trap Falls Road Ext, Shelton, CT 06484-4646 | 2020-09-03 |
| 1952912784 | Michael Joseph Vessicchio | Pharmacist | 645 Foxon Rd, East Haven, CT 06513-1951 | 2020-08-14 |
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1992323885 | Anjali Patel | Pharmacist | 1 W Ridge Dr, Rocky Hill, CT 06067-1744 | 2020-07-08 |
| 1124646922 | Rebecca R Lamore | Pharmacist | 100 Retreat Ave Ste 102b, Hartford, CT 06106-2528 | 2020-07-08 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1215554894 | Elizabeth Ejimnkeonye Chime-udeh | Pharmacist | 48 Arlen Way, West Hartford, CT 06117-1106 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.