Elizabeth Carol Mazzarella, PHARMD
Individual provider Active NPI Pharmacist · Freedom, PA
NPI 1013672526 · NPPES record last updated Nov 1, 2021
Key facts
- NPI
- 1013672526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP456068 (PA)
- Practice address
- 2500 Lovi Rd
Freedom, PA 15042-9398 - Phone
- (412) 203-1444
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- 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 |
|---|---|---|---|
| RP456068 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP456068 | PA | Yes |
Addresses
Primary practice location
2500 Lovi Rd
Freedom, PA 15042-9398
Mailing address
2500 Lovi Rd
Freedom, PA 15042-9398
Phone (412) 203-1444
NPI Registry JSON
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1013672526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 LOVI RD",
"city": "FREEDOM",
"state": "PA",
"postal_code": "150429398",
"telephone_number": "412-203-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 LOVI RD",
"city": "FREEDOM",
"state": "PA",
"postal_code": "150429398",
"telephone_number": "412-203-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZARELLA",
"first_name": "ELIZABETH",
"middle_name": "CAROL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP456068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freedom, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 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.