Penelope L Pezzella, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202010746 Issued in VA

Practice address

2145 S Military Hwy
Chesapeake, VA 23320-4426

Phone

(757) 545-5700

NPI assigned

Oct 4, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/610/brand/3/csg/45/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/17183/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chesapeake Care, Inc

  • Multi-Specialty Clinic/Center
  • Chesapeake, VA
  • NPI 1811180557
  NPD (past)
• Chesapeake Care, Inc.

  dba Hampton Roads Dental Center

  • Dental Clinic/Center
  • Chesapeake, VA
  • NPI 1336566942
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1255938155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 WOODY RIDGE CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222245",
            "telephone_number": "757-647-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 S MILITARY HWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204426",
            "telephone_number": "757-545-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZELLA",
        "first_name": "PENELOPE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202010746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Ellen Petree, D.C.
• Michael Petruschak, M.D.
• Kierra Pettigrew, RBT
• Veronique Champagne Pettitt, RD, CSR
• Ryan Peyton, RN
• Yvette B Pfeffer, MD
• Kelly Phan
• Sang Hoang Phuoc Phan, PA
• Phase One Care LLC
• Philbert H. Kuo, D.P.M.

• Pharmacist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.