Active NPI
Janice Beverly Marciniak, R.PH.
- Pharmacist
- New Philadelphia, OH
National Provider Identifier
1265512461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-2--16488
- Practice address
- 551 W High Ave
New Philadelphia, OH 44663-2005 - Phone
- (303) 394-4663
- Fax
- (303) 399-0073
- NPI assigned
- Oct 16, 2006
- 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 | 03-2--16488 | OH | Primary |
Addresses
Primary practice location
551 W High Ave
New Philadelphia, OH 44663-2005
Mailing address
7142 Elgin Dr SW
Sherrodsville, OH 44675-9720
Phone (330) 401-5940
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03-2--16488 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Cleveland Medical Center | Past | Accepting new patients | |
| Comprehensive Ventures Unlimited Inc | 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.
-
dba Gates Pharmacy
- Community/Retail Pharmacy
- Elyria, OH
- NPI 1679615249
-
dba UH Meds Elyria Pharmacy
- Community/Retail Pharmacy
- Elyria, OH
- NPI 1881519544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1265512461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7142 ELGIN DR SW",
"city": "SHERRODSVILLE",
"state": "OH",
"postal_code": "446759720",
"telephone_number": "330-401-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 W HIGH AVE",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446632005",
"telephone_number": "303-394-4663",
"fax_number": "303-399-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCINIAK",
"first_name": "JANICE",
"middle_name": "BEVERLY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-2--16488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Philadelphia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.