Provider Demographics
NPI:1174882005
Name:PILEGGI, DOMINIC J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DOMINIC
Middle Name:J
Last Name:PILEGGI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:H110A CHANDLER MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0293
Mailing Address - Country:US
Mailing Address - Phone:630-710-0704
Mailing Address - Fax:859-323-9258
Practice Address - Street 1:H110A CHANDLER MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:630-710-0704
Practice Address - Fax:859-323-9258
Is Sole Proprietor?:No
Enumeration Date:2012-05-12
Last Update Date:2012-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program