Nicole Maria Petrella, PharmD
Pharmacy in Rochester, NY. Individual provider (NPI-1).
NPI number1962053181
StatusActive
Last updated in NPPESJun 28, 2020
Details
- NPI
- 1962053181
- Entity type
- Individual (NPI-1)
- Name
- Nicole Maria Petrella
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2019
- Certification date
- Jun 28, 2020
- Last updated
- Jun 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 066100 | NY | Yes |
Practice location
601 Elmwood AveRochester, NY 14642-3021
Phone 585-275-2100
Mailing address
28 Angela Villa LnRochester, NY 14626-1766
Phone 585-749-7177
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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