Active NPI
Becky B Petronio, RPH
- Geriatric Pharmacist
- New Hartford, NY
National Provider Identifier
1851614374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 037362-1
- Practice address
- 8378 Seneca Turnpike
New Hartford, NY 13413-4956 - Phone
- (800) 627-4455
- Fax
- (315) 624-7982
- NPI assigned
- Mar 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 037362-1 | NY | Primary |
| Geriatric Pharmacist | 1835G0303X | 2194 | NH |
Addresses
Primary practice location
8378 Seneca Turnpike
New Hartford, NY 13413-4956
Mailing address
8378 Seneca Tpke
New Hartford, NY 13413-4956
Phone (800) 627-4455
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037362-1 | NY | MD | Geriatric Pharmacist |
| 2194 | NH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1851614374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8378 SENECA TPKE",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134134956",
"telephone_number": "800-627-4455",
"fax_number": "315-624-7982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8378 SENECA TURNPIKE",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134134956",
"telephone_number": "800-627-4455",
"fax_number": "315-624-7982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRONIO",
"first_name": "BECKY",
"middle_name": "B",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-11",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NY",
"license": "037362-1",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NH",
"license": "2194",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.