Community Action Agency of Columbiana County, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC

Practice address

16480 Saint Clair Ave
East Liverpool, OH 43920-9124

Phone

(330) 386-7777

NPI assigned

Mar 19, 2019

Organization subpart

Yes

Parent organization

COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INCAs reported in NPPES

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

Authorized official

Name

Jenna Wonner

Title

Coo

Phone

(330) 424-7221

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CAA East Liverpool Pharmacy Doing business as

Part of

Caa of Columbiana Co in

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Community Action Agency of Columbiana County Inc

  • Federally Qualified Health Center (FQHC)
  • Salineville, OH
  • NPI 1508114893

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1982163853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-424-7221",
            "fax_number": "888-270-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16480 SAINT CLAIR AVE",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209124",
            "telephone_number": "330-386-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY, INC",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "WONNER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-424-7221"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO BOARD OF PHARMACY",
            "identifier": "0232000062",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAA East Liverpool Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Coblentz, PA
• Kelly Lee Colangelo, CT
• Columbiana Anesthesia Consultants,Inc
• Community Action Agency of Columbiana County, Inc
• Community Action Agency of Columbiana County, Inc
• Complete Dental Care of Calcutta
• Comprehensive Mental Health Services
• Concordia Visiting Nurses
• Jalynn Conrad
• John J. Conrad, OD

• Community/Retail Pharmacy in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.