Samantha Lynn Cisco, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03136252 Issued in OH

Practice address

4240 Pearl Rd
Cleveland, OH 44109-4217

Phone

(216) 398-6900

Fax

(216) 398-2102

NPI assigned

Feb 2, 2021

Last updated

Feb 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1962093823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094217",
            "telephone_number": "216-398-6900",
            "fax_number": "216-398-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094217",
            "telephone_number": "216-398-6900",
            "fax_number": "216-398-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISCO",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03136252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Kay Cirino, ANP-BC
• Rebecca Therese Cirino, D.O.
• Robert Cirino, MD
• Sebastian Cirio, MD
• Cassandra Cisco, OTR/L
• Brooklynn Cistrunk
• Rachel A Citak, MSSA, LISW-S
• Citie One Home Care Services
• Citizens Academy
• Citizens Academy East

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.