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

LicenseStateTypeSpecialty
RP456068PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 1, 2021.

{
    "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

All providers in Freedom, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.