Dominic Pizzo, PHARMD
Individual provider Active NPI Pharmacist · Winthrop, ME
NPI 1003407487 · NPPES record last updated Jan 28, 2021
Key facts
- NPI
- 1003407487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR70162 (ME)
- Practice address
- 16 Peck Farm Rd
Winthrop, ME 04364-1565 - Phone
- (207) 377-2279
- NPI assigned
- Jan 28, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR70162 | ME | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR70162 | ME | Yes |
Addresses
Primary practice location
16 Peck Farm Rd
Winthrop, ME 04364-1565
Mailing address
35 Maple Ridge Rd
China, ME 04358-4236
Other providers in Winthrop, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.