Active NPI
Tina Marie Colucci, PHARMD, RPH
- Pharmacist
- Youngstown, OH
National Provider Identifier
1932489440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03127637
- Practice address
- 3800 Tippecanoe Rd
Youngstown, OH 44511-3310 - Phone
- (330) 797-3205
- Fax
- (330) 797-5069
- NPI assigned
- Aug 29, 2011
- Last updated
- Aug 31, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03127637 | OH | Primary |
Addresses
Primary practice location
3800 Tippecanoe Rd
Youngstown, OH 44511-3310
Mailing address
3800 Tippecanoe Rd
Youngstown, OH 44511-3310
Phone (330) 797-3205
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03127637 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1932489440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 TIPPECANOE RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445113310",
"telephone_number": "330-797-3205",
"fax_number": "330-797-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 TIPPECANOE RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445113310",
"telephone_number": "330-797-3205",
"fax_number": "330-797-5069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLUCCI",
"first_name": "TINA",
"middle_name": "MARIE",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03127637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.