Active NPI
Peter Michael Nardozzi, RPH, CIP
- Pharmacist
- Brunswick, ME
National Provider Identifier
1114158219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4374
- Practice address
- 10 Brickyard CT
Signature Pines
Brunswick, ME 04011-1757 - Phone
- (207) 607-4267
- NPI assigned
- Aug 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR4374 | ME | Primary |
Addresses
Primary practice location
10 Brickyard CT
Signature Pines
Brunswick, ME 04011-1757
Mailing address
10 Brickyard CT
Signature Pines
Brunswick, ME 04011-1757
Phone (207) 607-4267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR4374 | Other | ME | DEPARTMENT OF PROFESSIONAL & FINANCIAL REGULATIONS/BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR4374 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1114158219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BRICKYARD CT",
"address_2": "SIGNATURE PINES",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040111757",
"telephone_number": "207-607-4267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BRICKYARD CT",
"address_2": "SIGNATURE PINES",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040111757",
"telephone_number": "207-607-4267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARDOZZI",
"first_name": "PETER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "RPH, CIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF PROFESSIONAL & FINANCIAL REGULATIONS/BOARD OF PHARMACY",
"identifier": "PR4374",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.