Active NPI
Bethann Passarello Inc
- Community/Retail Pharmacy
- Poland, OH
National Provider Identifier
1972651933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RTP.021352850-03
- 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 PHARMACY
- 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.
-
- Pharmacist
- Youngstown, OH
- NPI 1104573542
-
- Pharmacist
- Poland, OH
- NPI 1104308469
-
- Ambulatory Care Pharmacist
- Poland, OH
- NPI 1346708302
National Provider Directory
National Provider DirectoryLocations
6615 Clingan Rd
Ste B
Youngstown, OH 44514
Phone (330) 757-3553
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | RTP.021352850-03 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2075518 | Other | PK |
Other names 1
NPPES NPI Registry- THE MEDICINE PLACE
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.