Active NPI
Emily Fargo, PHARMD, BCPS
- Pharmacist
- Medina, OH
National Provider Identifier
1770013286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03338071
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 03338071 | OH | MD | Pharmacist |
| RP450490 | PA | MD | Pharmacist |
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.