Organization Active NPI

Bethann Passarello Inc

  • Community/Retail Pharmacy
  • Poland, OH
National Provider Identifier
1972651933
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP.021352850-03 Issued in OH
Legal business name
BETHANN PASSARELLO INC
Practice address
6615 Clingan Rd
Ste B
Poland, OH 44514-2196
Phone
(330) 757-3553
Fax
(330) 757-0155
NPI assigned
Jan 8, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Bethann Passarello, BS IN PHARMACYNPI 1104573542
Title
Owner and Pharmacist
Phone
(330) 757-3553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

6615 Clingan Rd
Ste B
Youngstown, OH 44514
Phone (330) 757-3553

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RTP.021352850-03 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

6615 Clingan Rd
Ste B
Poland, OH 44514-2196

Mailing address

6615 Clingan Rd
Ste B
Poland, OH 44514-2196
Phone (330) 757-3553

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2075518OtherPK

Other names 1

NPPES NPI Registry
  • THE MEDICINE PLACE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2016.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1972651933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 CLINGAN RD",
            "address_2": "STE B",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142196",
            "telephone_number": "330-757-3553",
            "fax_number": "330-757-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 CLINGAN RD",
            "address_2": "STE B",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142196",
            "telephone_number": "330-757-3553",
            "fax_number": "330-757-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANN PASSARELLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "PASSARELLO",
        "authorized_official_first_name": "BETHANN",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "330-757-3553",
        "authorized_official_credential": "BS IN PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP.021352850-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.