Active NPI
Charlene Marie Glass-Frasca
- Pharmacist
- Streetsboro, OH
National Provider Identifier
1538750815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03118950
- Practice address
- 9940 State Route 43
Streetsboro, OH 44241-4938 - Phone
- (330) 626-1866
- NPI assigned
- Jan 29, 2021
- Last updated
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 03118950 | OH | Primary |
Addresses
Primary practice location
9940 State Route 43
Streetsboro, OH 44241-4938
Mailing address
232 Old Oak Dr
Cortland, OH 44410-1122
Phone (330) 717-8871
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03118950 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1538750815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 OLD OAK DR",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444101122",
"telephone_number": "330-717-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9940 STATE ROUTE 43",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "442414938",
"telephone_number": "330-626-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS-FRASCA",
"first_name": "CHARLENE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03118950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Gentle Haven Recovery Home for Women
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- Jean Giunto, OTA/L
- Martisha Lorinda Glover, R.N.
- Lamar Grays
- Bojena D Gross, CT
- Joseph Guba, RPH
- Guiding Steps Counseling and Consultation Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.