Active NPI
Marie Domiano
- Pharmacist
- Scranton, PA
National Provider Identifier
1548644164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP037003T
- Practice address
- 201 Smallacombe Drive
Scranton, PA 18508 - Phone
- (510) 348-1300
- NPI assigned
- Jul 14, 2015
- Last updated
- Jul 14, 2015
- 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 | RP037003T | CO | Primary |
Addresses
Primary practice location
201 Smallacombe Drive
Scranton, PA 18508
Mailing address
201 Smallacombe Dr
Scranton, PA 18508-2616
Phone (570) 348-1300
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 |
|---|---|---|---|
| RP037003T | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Health Care Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allied Services Pharmacy
- Long Term Care Pharmacy
- Clarks Summit, PA
- NPI 1336321124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1548644164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SMALLACOMBE DR",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185082616",
"telephone_number": "570-348-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SMALLACOMBE DRIVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18508",
"telephone_number": "510-348-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMIANO",
"first_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "RP037003T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.