MD Compounding Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MD COMPOUNDING PHARMACY

Practice address

721 Boardman Canfield Rd
Boardman, OH 44512-4386

Phone

(330) 726-6337

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Mario Petrino

Title

Pharmacist

Phone

(330) 726-6337

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1033532437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124386",
            "telephone_number": "330-726-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "PETRINO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "330-726-6337"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cally L McGee, MD
• Shirley Ann McIntosh, CNP
• Ashley McKee, NP-C
• Susan L McMann, ACNP-BC
• Patricia McSuley
• Meaningful Solutions
• Sherry Rose Meckulch
• Medical Imaging Diagnostics
• Medical Imaging Diagnostics
• Medical Imaging Diagnostics

• Community/Retail Pharmacy in Boardman, OH
• Providers in Boardman, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.