Joseph Michael Petrick Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S07458 Issued in AZ

Practice address

6895 E Sunrise Dr
Tucson, AZ 85750-0831

Phone

(520) 615-4800

Fax

(520) 615-8866

NPI assigned

May 23, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1871905901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6895 E SUNRISE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500831",
            "telephone_number": "520-615-4800",
            "fax_number": "520-615-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6895 E SUNRISE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500831",
            "telephone_number": "520-615-4800",
            "fax_number": "520-615-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRICK",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S07458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer O'Brien Peterson, D.O.
• Rachelle Rae Petika, NP-C
• Andrew Thomas Petrak, DNP
• Jason Thomas Petras, MA, BCBA
• Lane Louise Petri, A/GNP
• Marden Petrie, PSY.D.
• Christina Carol Petrin
• Christopher Jay Petro, M.D.
• Kiley Petro
• Celeste Styczynski Petronella, M.S., CCC-SLP

• Pharmacist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.