Renee E Polen

Primary specialty

PharmacistTaxonomy code 183500000X

License

03222875 Issued in OH

Practice address

222 E Smokerise Dr
Wadsworth, OH 44281-8277

Phone

(330) 336-5274

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bouscher Family Eye Care, Inc.

  • Optometrist
  • Wadsworth, OH
  • NPI 1821538588
  NPD
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1821698200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12960 SUNSHINE CIR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446479669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E SMOKERISE DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818277",
            "telephone_number": "330-336-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEN",
        "first_name": "RENEE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03222875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Maria Petti
• Phillip Chirla, DMD, LLC
• Phillip Lahue Counseling LLC
• Kari Lyn Piazza, RD, LD
• Tamirah Monae Pittman
• Bryan Poole
• Tajh Poole
• Rebecca Katherine Popovich
• Emily Powell
• Christina Powers

• Pharmacist in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.