Individual provider Active NPI

Jennifer Viano

  • Pharmacist
  • Boardman, OH
National Provider Identifier
1013580372
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-3-21674 Issued in OH
Practice address
1419 Boardman Canfield Rd Ste 340
Boardman, OH 44512-8000
Phone
(330) 505-1979
Fax
(330) 505-4178
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-3-21674 OH Primary

Addresses

Primary practice location

1419 Boardman Canfield Rd Ste 340
Boardman, OH 44512-8000

Mailing address

1136 Drake View CT
North Lima, OH 44452-8572
Phone (330) 519-7352

Other identifiers 1

IdentifierTypeStateIssuer
03-3-21674OtherOHOHIO STATE BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

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

Practice roles

OrganizationSpecialtyStatusNew patients
RX Institutional Services LLC PastSince Jul 25, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1013580372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 DRAKE VIEW CT",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444528572",
            "telephone_number": "330-519-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 BOARDMAN CANFIELD RD STE 340",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445128000",
            "telephone_number": "330-505-1979",
            "fax_number": "330-505-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIANO",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-21674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE BOARD OF PHARMACY",
            "identifier": "03-3-21674",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1419 Boardman Canfield Rd Ste 340",
            "city": "Boardman",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445128000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.