Individual provider Active NPI

Emily Fargo, PHARMD, BCPS

  • Pharmacist
  • Medina, OH
National Provider Identifier
1770013286
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03338071 Issued in OH
Practice address
970 East Washington Street
Medical Office Building - South, Suite 1
Medina, OH 44256
Phone
(330) 721-5627
NPI assigned
Jun 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP450490 PA
Pharmacist 183500000X 03338071 OH Primary

Addresses

Primary practice location

970 East Washington Street
Medical Office Building - South, Suite 1
Medina, OH 44256

Mailing address

970 East Washington Street
Medical Office Building - South, Suite 1
Medina, OH 44256

Other practice location 1

815 Freeport Rd
Pittsburgh, PA 15215-3301
Phone (412) 784-4000

Other practice location 2

5475 Penn Ave
Pittsburgh, PA 15206-3453
Phone (412) 361-7562

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

LicenseStateTypeSpecialty
03338071OHMDPharmacist
RP450490PAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1770013286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 EAST WASHINGTON STREET",
            "address_2": "MEDICAL OFFICE BUILDING - SOUTH, SUITE 1",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EAST WASHINGTON STREET",
            "address_2": "MEDICAL OFFICE BUILDING - SOUTH, SUITE 1",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-721-5627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Freeport Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152153301",
            "country_code": "US",
            "telephone_number": "412-784-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5475 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152063453",
            "country_code": "US",
            "telephone_number": "412-361-7562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARGO",
        "first_name": "EMILY",
        "credential": "PHARMD, BCPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP450490",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03338071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.