Petrilla Inc Dba Dicks Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

PETRILLA INC DBA DICKS PHARMACY

Doing business as

DICKS PHARMACY

Practice address

790 N Garland Ave
Youngstown, OH 44506-1078

Phone

(330) 743-3544

Fax

(330) 743-8106

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Richard A Petrilla I, PHARMACISTNPI 1851472708

Title

Owner

Phone

(330) 743-3544

Specialties & licenses 1

Addresses

Other names 1

• DICKS PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard A Petrilla, RPH

  • Pharmacist
  • Youngstown, OH
  • NPI 1851472708
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265577373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 N GARLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445061078",
            "telephone_number": "330-743-3544",
            "fax_number": "330-743-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 N GARLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445061078",
            "telephone_number": "330-743-3544",
            "fax_number": "330-743-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRILLA INC DBA DICKS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRILLA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-743-3544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DICKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Grace Peterson, APRN-CRNA
• Janine A Petko, RDLD
• John Anthony Petracci, R.PH
• Scott W. Petrallo, DC
• Hayden Everett Petrick, DO
• Richard A Petrilla, RPH
• Christina Rae Petro, PMHNP-BC
• Sara Jane Petrosky, RN
• Amy Marie Petrunak
• Rosella Petrus, PTA

• Pharmacist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.