Active NPI
Kyle Bruno Zaffino, PHARMD
- Pharmacist
- Warren, PA
National Provider Identifier
1578904579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP444990
- Practice address
- 212 Liberty St # 214
Warren, PA 16365-2347 - Phone
- (814) 723-1743
- Fax
- (814) 726-7876
- NPI assigned
- Jul 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP444990 | PA | Primary |
| Pharmacist | 183500000X | RPI003784 | PA |
Addresses
Primary practice location
212 Liberty St # 214
Warren, PA 16365-2347
Mailing address
212 Liberty St # 214
Warren, PA 16365-2347
Phone (814) 723-1743
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPI003784 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darling Apothecary LLC | Past | Accepting new patients | |
| Darling Apothecary LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Sprout's Drug Store
- Community/Retail Pharmacy
- Shinglehouse, PA
- NPI 1760497382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1578904579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 LIBERTY ST # 214",
"city": "WARREN",
"state": "PA",
"postal_code": "163652347",
"telephone_number": "814-723-1743",
"fax_number": "814-726-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 LIBERTY ST # 214",
"city": "WARREN",
"state": "PA",
"postal_code": "163652347",
"telephone_number": "814-723-1743",
"fax_number": "814-726-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAFFINO",
"first_name": "KYLE",
"middle_name": "BRUNO",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-08",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP444990",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RPI003784",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.