Active NPI
Dino Pitta
- Pharmacist
- Waterloo, WI
National Provider Identifier
1801286612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12441-40
- Practice address
- N7421 Mulderink LN
Waterloo, WI 53594-9437 - Phone
- (414) 467-8175
- NPI assigned
- Feb 1, 2015
- Last updated
- Feb 1, 2015
- Sex
- Male
- 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 | 12441-40 | WI | Primary |
Addresses
Primary practice location
N7421 Mulderink LN
Waterloo, WI 53594-9437
Mailing address
N7421 Mulderink LN
Waterloo, WI 53594-9437
Phone (414) 467-8175
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 |
|---|---|---|---|
| 12441-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422748800000",
"number": "1801286612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N7421 MULDERINK LN",
"city": "WATERLOO",
"state": "WI",
"postal_code": "535949437",
"telephone_number": "414-467-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N7421 MULDERINK LN",
"city": "WATERLOO",
"state": "WI",
"postal_code": "535949437",
"telephone_number": "414-467-8175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTA",
"first_name": "DINO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-01",
"last_updated": "2015-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12441-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.