Active NPI
Robert Michael Trezza, R.PH.
- Pharmacist
- Aiken, SC
National Provider Identifier
1407130230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 4870
- Practice address
- 2545 Whiskey Rd
Aiken, SC 29803-8521 - Phone
- (803) 644-2711
- Fax
- (803) 644-2711
- NPI assigned
- Sep 28, 2011
- Sex
- Male
- Sole proprietor
- No
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 | PH 4870 | SC | Primary |
Addresses
Primary practice location
2545 Whiskey Rd
Aiken, SC 29803-8521
Mailing address
2545 Whiskey Road
Target T-1310
Aiken, SC 29803
Phone (803) 644-2711
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 |
|---|---|---|---|
| PH 4870 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1407130230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 WHISKEY ROAD",
"address_2": "TARGET T-1310",
"city": "AIKEN",
"state": "SC",
"postal_code": "29803",
"telephone_number": "803-644-2711",
"fax_number": "803-644-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 WHISKEY RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298038521",
"telephone_number": "803-644-2711",
"fax_number": "803-644-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREZZA",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "PH 4870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
- Kristina Topp, LISW-CP
- Gabrielle Torres
- Lynnsey Jamison Torres
- Total Care Medical Center LLC (Total Care Medical Center)
- Christine Anne Trahan
- William John Trezza, LISW-CP
- Tri-Development Center of Aiken County, Inc.
- Latoya Nukuyua Triplin, LPN
- Catherine Capell Troup, MCD, SLP
- Bridget Nicole Troutman, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.