Organization Active NPI

Pharmco Management, LLC

Doing business as Scriptshop Pharmacy

  • Pharmacy
  • Navarre, OH
National Provider Identifier
1326036039
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
02141300 Issued in OH
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

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Rosario S. Carcione, PHARMDNPI 1346830619
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0457557MedicaidOH
3644691OtherNCPDP

Other names 1

  • Scriptshop Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2239902Pharmco Management, LLC4254 Erie Ave SW, Navarre, OH 44662Certificate of waiverOct 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Compounding Pharmacy of Green2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.