Individual provider Active NPI

Joseph Tabacchi

  • Pharmacist
  • Saint Clairsville, OH
National Provider Identifier
1942708953
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03212582 Issued in OH
Practice address
50789 Valley Plaza Dr
Saint Clairsville, OH 43950-1752
Phone
(740) 695-7170
Fax
(740) 695-7169
NPI assigned
Jan 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03212582 OH Primary

Addresses

Primary practice location

50789 Valley Plaza Dr
Saint Clairsville, OH 43950-1752

Mailing address

50198 W Rustic Dr Apt 32
Saint Clairsville, OH 43950-9140
Phone (740) 310-2074

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

State licenses

LicenseStateTypeSpecialty
03212582OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kroger Co Past Accepting new patients
Kroger 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1942708953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50198 W RUSTIC DR APT 32",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509140",
            "telephone_number": "740-310-2074",
            "fax_number": "740-695-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50789 VALLEY PLAZA DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501752",
            "telephone_number": "740-695-7170",
            "fax_number": "740-695-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABACCHI",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03212582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.