Robert C Petronio Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

037540 Issued in NY

Practice address

485 French Rd
Utica, NY 13502-5987

Phone

(315) 792-4669

Fax

(315) 792-6911

NPI assigned

Apr 17, 2006

Sex

Male

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

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.

• Parkway Drugs of Oneida County South Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1932135621
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1629032537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BEDFORD DR",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134922201",
            "telephone_number": "315-796-7446",
            "fax_number": "315-792-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 FRENCH RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025987",
            "telephone_number": "315-792-4669",
            "fax_number": "315-792-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONIO",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Peruzzi, AGNP
• Allison Marie Peters, PA
• Taylor Kristine Peters, LMSW
• Edith C Peterson, ANP
• Russell Petrie, PA-C
• Judith Arden Petroski, LSWR
• Karina Petrovets
• Viktor Ivanovich Petrovets, FNP-BC
• Jean Pexton
• Darlene Pfeifer

• Pharmacist in Utica, NY
• Providers in Utica, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.