Arezou Petrie, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

48122 Issued in CA

Practice address

8283 Grove Ave
Ste 105
Rancho Cucamonga, CA 91730-3137

Phone

(909) 981-0956

NPI assigned

Dec 12, 2014

Last updated

Dec 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

• Fulfilling Healthcare Services LLC

  dba Parkview Pharmacy and Home Healthcare

  • Community/Retail Pharmacy
  • Rancho Cucamonga, CA
  • NPI 1972525566
  NPD (past)

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1265830863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572227",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913572227",
            "telephone_number": "818-632-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE",
            "address_2": "STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303137",
            "telephone_number": "909-981-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "AREZOU",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "48122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Petersen
• Jeraleen M. Peterson, LCSW
• Miles Ellis Peterson, PHD
• Vanessa Noel Browne Peterson, DDS, MS
• Petrichor Physical Therapy a Professional Corporation
• Louis Petrie, PHARM.D
• Marques Tyrell Pettaway
• Nisherah Laebony Pettaway
• Emilie Pfaender
• Sarah Pfau, MS, ATC, CSCS

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.