Active NPI
Mario Michael Iacano, PHARM D.
- Pharmacist
- Bellaire, OH
National Provider Identifier
1760936728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03136177
- Practice address
- 428 34TH St
Bellaire, OH 43906-1538 - Phone
- (740) 676-5621
- NPI assigned
- Aug 8, 2016
- Last updated
- Aug 8, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03136177 | OH | Primary |
Addresses
Primary practice location
428 34TH St
Bellaire, OH 43906-1538
Mailing address
428 34TH St
Bellaire, OH 43906-1538
Phone (740) 676-5621
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03136177 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1760936728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 34TH ST",
"city": "BELLAIRE",
"state": "OH",
"postal_code": "439061538",
"telephone_number": "740-676-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 34TH ST",
"city": "BELLAIRE",
"state": "OH",
"postal_code": "439061538",
"telephone_number": "740-676-5621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACANO",
"first_name": "MARIO",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03136177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellaire, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.