Richard A Petrilla, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03109313 Issued in OH

Practice address

790 N Garland Ave
Youngstown, OH 44506-1078

Phone

(330) 743-3544

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Petrilla Inc Dba Dicks Pharmacy

  • Pharmacist
  • Youngstown, OH
  • NPI 1265577373
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851472708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CHATSWORTH LN",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069623",
            "telephone_number": "330-533-2188",
            "fax_number": "330-743-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 N GARLAND AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445061078",
            "telephone_number": "330-743-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRILLA",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03109313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "03109310",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0679172",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3649184",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janine A Petko, RDLD
• John Anthony Petracci, R.PH
• Scott W. Petrallo, DC
• Hayden Everett Petrick, DO
• Petrilla Inc Dba Dicks Pharmacy
• Christina Rae Petro, PMHNP-BC
• Sara Jane Petrosky, RN
• Amy Marie Petrunak
• Rosella Petrus, PTA
• Arys Petties

• Pharmacist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.