Active NPI
Christine Renee Pettapiece, PHARMD
- Pharmacist
- Niagara Falls, NY
National Provider Identifier
1710169842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051891-1
- Practice address
- 1020 Portage Rd
Niagara Falls, NY 14301-1120 - Phone
- (716) 285-0514
- Fax
- (716) 284-8418
- NPI assigned
- Nov 30, 2007
- Sex
- Female
- 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 | 051891-1 | NY | Primary |
Addresses
Primary practice location
1020 Portage Rd
Niagara Falls, NY 14301-1120
Mailing address
1020 Portage Rd
Niagara Falls, NY 14301-1120
Phone (716) 285-0514
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051891-1 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1710169842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 PORTAGE RD",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011120",
"telephone_number": "716-285-0514",
"fax_number": "716-284-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 PORTAGE RD",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011120",
"telephone_number": "716-285-0514",
"fax_number": "716-284-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTAPIECE",
"first_name": "CHRISTINE",
"middle_name": "RENEE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051891-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.