Active NPI
Kelly Ann Kotrozo I
- Pharmacist
- Wexford, PA
National Provider Identifier
1790380582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP038180L
- Practice address
- 11240 Perry Hwy
Wexford, PA 15090-8332 - Phone
- (724) 935-7890
- Fax
- (724) 935-7895
- NPI assigned
- Dec 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | RP038180L | PA | Primary |
Addresses
Primary practice location
11240 Perry Hwy
Wexford, PA 15090-8332
Mailing address
11240 Perry Hwy
Wexford, PA 15090-8332
Phone (724) 935-7890
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP038180L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1790380582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11240 PERRY HWY",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908332",
"telephone_number": "724-935-7890",
"fax_number": "724-935-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11240 PERRY HWY",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908332",
"telephone_number": "724-935-7890",
"fax_number": "724-935-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTROZO",
"first_name": "KELLY",
"middle_name": "ANN",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP038180L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.