Ronald Pustizzi, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03120300 Issued in NJ

Practice address

4238 Harbor Beach Blvd
Brigantine, NJ 08203-1361

Phone

(609) 266-8999

NPI assigned

Jun 12, 2022

Last updated

Jun 12, 2022By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1770213944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 HARBOR BEACH BLVD",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031361",
            "telephone_number": "609-266-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 HARBOR BEACH BLVD",
            "city": "BRIGANTINE",
            "state": "NJ",
            "postal_code": "082031361",
            "telephone_number": "609-266-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSTIZZI",
        "first_name": "RONALD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03120300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "123456789",
            "identifier": "123456789",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pustizzi.ronald@walgreens.org",
            "affiliation": "N",
            "address_1": "4238 Harbor Beach Blvd",
            "city": "Brigantine",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082031361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Brigantine, NJ
• Providers in Brigantine, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.