Active NPI
Pharmco Management, LLC
Doing business as Scriptshop Pharmacy
- Pharmacy
- Navarre, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 02141300
- Legal business name
- PHARMCO MANAGEMENT, LLC
- Doing business as
- Scriptshop Pharmacy
- Practice address
- 4254 Erie SW
Navarre, OH 44662 - Phone
- (330) 879-5626
- Fax
- (330) 879-5666
- NPI assigned
- Oct 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosario S. Carcione, PHARMD
- Title
- Owner
- Phone
- (330) 879-5626
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 02141300 | OH | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 02141300 | OH | |
| Pharmacy | 333600000X | 02141300 | OH | Primary |
| Prosthetic/Orthotic Supplier | 335E00000X | 02141300 | OH |
Addresses
Primary practice location
4254 Erie SW
Navarre, OH 44662
Mailing address
4254 Erie SW
Navarre, OH 44662
Phone (330) 879-5626
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0457557 | Medicaid | OH | |
| 3644691 | Other | NCPDP |
Other names 1
- Scriptshop Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140910002459 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 9436367703 | Practice locations: Navarre, OH |
| O20220926002414 | OH | Part B Supplier - Pharmacy | 7911383153 | Practice locations: Navarre, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2239902 | Pharmco Management, LLC | Certificate of waiver | Oct 13, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Compounding Pharmacy of Green
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Compounding Pharmacy of Green
- Compounding Pharmacy
- Uniontown, OH
- NPI 1336735901
Locations
4254 Erie Ave SW
Navarre, OH 44662
Phone (330) 879-5626
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Compounding Pharmacy
- Uniontown, OH
- NPI 1346830619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638748800000",
"number": "1326036039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4254 ERIE SW",
"city": "NAVARRE",
"state": "OH",
"postal_code": "44662",
"telephone_number": "330-879-5626",
"fax_number": "330-879-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4254 ERIE SW",
"city": "NAVARRE",
"state": "OH",
"postal_code": "44662",
"telephone_number": "330-879-5626",
"fax_number": "330-879-5666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMCO MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-07",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A",
"authorized_official_last_name": "CARCIONE",
"authorized_official_first_name": "ROSARIO",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-879-5626",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": "02141300",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "OH",
"license": "02141300",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OH",
"license": "02141300",
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "OH",
"license": "02141300",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0457557",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3644691",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Scriptshop Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Navarre, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.