Individual provider Active NPI

Patricia Ann Pizzifred, RPH, CDCES

  • Pharmacist
  • Toledo, OH
National Provider Identifier
1720175565
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03323991 Issued in OH
Practice address
4345 Secor Rd
Toledo, OH 43623-4233
Phone
(419) 469-6884
Fax
(888) 363-3695
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03323991 OH Primary
Pharmacist 183500000X 03-3-23991 OH

Addresses

Primary practice location

4345 Secor Rd
Toledo, OH 43623-4233

Mailing address

9440 Bucher Rd
Whitehouse, OH 43571-9461
Phone (419) 304-6784

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)
Enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03323991OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Diabetes Care, LLC CurrentSince Oct 16, 2009 Accepting new patients

Locations

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

4345 Secor Rd
Toledo, OH 43623
Phone (419) 469-6884

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1720175565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 BUCHER RD",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719461",
            "telephone_number": "419-304-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234233",
            "telephone_number": "419-469-6884",
            "fax_number": "888-363-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZIFRED",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "RPH, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03323991",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-23991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.