Organization Active NPI

Pharmco Management, LLC

  • Compounding Pharmacy
  • Uniontown, OH
National Provider Identifier
1336735901
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
PHARMCO MANAGEMENT, LLC
Practice address
4016 Massillon Rd Ste B
Uniontown, OH 44685-7818
Phone
(330) 899-0406
Fax
(330) 899-0652
NPI assigned
Dec 17, 2020
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
Dr. Rosario S Carcione, PHARMDNPI 1346830619
Title
President
Phone
(330) 899-0406

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

4016 Massillon Rd Ste B
Uniontown, OH 44685-7818

Mailing address

877 Hidden Valley Dr
Wadsworth, OH 44281-9282
Phone (330) 232-1255

Other identifiers 4

IdentifierTypeStateIssuer
1336735901OtherNPI
0232000218OtherOHLICENSE TO DISTRIBUTE DANGEROUS DRUGS
0426880MedicaidOH
3688554OtherNCPDP

Other names 1

  • Compounding Pharmacy of Green Doing business as

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

4016 Massillon Rd
Ste B
Green, OH 44685
Phone (330) 899-0406

Practitioners & affiliated clinicians

Practitioners 2

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": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1336735901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 HIDDEN VALLEY DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819282",
            "telephone_number": "330-232-1255",
            "fax_number": "330-899-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 MASSILLON RD STE B",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857818",
            "telephone_number": "330-899-0406",
            "fax_number": "330-899-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCO MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "330-899-0406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336735901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO DISTRIBUTE DANGEROUS DRUGS",
            "identifier": "0232000218",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426880",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3688554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compounding Pharmacy of Green",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Uniontown, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.