Active NPI
Gina Petruzzo
- Pharmacist
- Ocean City, MD
National Provider Identifier
1982009619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14528
- Practice address
- 1611 Philadelphia Ave
Ocean City, MD 21842-3650 - Phone
- (410) 289-6513
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- 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 | 14528 | MD | Primary |
Addresses
Primary practice location
1611 Philadelphia Ave
Ocean City, MD 21842-3650
Mailing address
11449 Newport Bay Dr
Berlin, MD 21811-9641
Phone (443) 373-3528
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 |
|---|---|---|---|
| 14528 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy LLC | Past | Accepting new patients | |
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1982009619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11449 NEWPORT BAY DR",
"city": "BERLIN",
"state": "MD",
"postal_code": "218119641",
"telephone_number": "443-373-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 PHILADELPHIA AVE",
"city": "OCEAN CITY",
"state": "MD",
"postal_code": "218423650",
"telephone_number": "410-289-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRUZZO",
"first_name": "GINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "14528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean City, MD
- Peninsula Rehab & Sports Medicine, Inc.
- Peninsula Rehabilitation & Sports Medicine, Inc. (Peninsula Rehab & Sports Medicine, Inc.)
- Thomas T Penroach, M.D.
- Lisa Ann Peppers, PSY.D.
- Maia Perone, CNS
- Stanley Russel Pillemer, MD
- Stephanie Renee Polce, PA-C
- Vaeda Pontosky
- David Pouchan, RPH.
- Stephanie Jo Price-Harris, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.