Individual provider Active NPI

Irene Buccino, RPH

  • Pharmacist
  • Warren, OH
National Provider Identifier
1972335727
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03216487 Issued in OH
Practice address
1732 Youngstown Rd SE
Warren, OH 44484-4292
Phone
(330) 369-4567
Fax
(330) 369-8443
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03216487 OH Primary

Addresses

Primary practice location

1732 Youngstown Rd SE
Warren, OH 44484-4292

Mailing address

1732 Youngstown Rd SE
Warren, OH 44484-4292
Phone (330) 369-4567

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03216487OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1972335727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 YOUNGSTOWN RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844292",
            "telephone_number": "330-369-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 YOUNGSTOWN RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844292",
            "telephone_number": "330-369-4567",
            "fax_number": "330-369-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCINO",
        "first_name": "IRENE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03216487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.