Active NPI
Marissa Chiumento, PHARM.D
- Pharmacist
- Wilkes Barre, PA
National Provider Identifier
1306326525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP451573
- Practice address
- 675 Baltimore Dr
Wilkes Barre, PA 18702-7900 - Phone
- (570) 808-1000
- NPI assigned
- Aug 16, 2018
- Last updated
- Feb 22, 2024
- 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 | RP451573 | PA | Primary |
Addresses
Primary practice location
675 Baltimore Dr
Wilkes Barre, PA 18702-7900
Mailing address
29 Pittston Ave
Pittston, PA 18640-3367
Phone (570) 906-5342
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP451573 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1306326525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 PITTSTON AVE",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186403367",
"telephone_number": "570-906-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 BALTIMORE DR",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187027900",
"telephone_number": "570-808-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIUMENTO",
"first_name": "MARISSA",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP451573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
- Children's Service Center of Wyoming Valley, Inc
- Children's Service Center of Wyoming Valley, Inc
- Children's Service Center of Wyoming Valley, Inc
- Matthew Chin, M.D.
- Tamara Chinikaylo, CRNP
- Alexis Amber Chlada, PHARMD
- Hannah Chocallo, PA-C
- Daniel S Christian, M.D.
- Lora Ann Chronowski
- Abigail L Chua, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.