Active NPI
Richard Lawrence Genovese, RPH
- Ambulatory Care Pharmacist
- Bedford, OH
National Provider Identifier
1992249254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 03208752
- Practice address
- 668 Corkhill Rd Apt 803a
Bedford, OH 44146-3487 - Phone
- (216) 577-6211
- NPI assigned
- Dec 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 03208752 | OH | Primary |
Addresses
Primary practice location
668 Corkhill Rd Apt 803a
Bedford, OH 44146-3487
Mailing address
668 Corkhill Rd Apt 803a
Bedford, OH 44146-3487
Phone (216) 577-6211
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03208752 | OH | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1992249254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 CORKHILL RD APT 803A",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463487",
"telephone_number": "216-577-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 CORKHILL RD APT 803A",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441463487",
"telephone_number": "216-577-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENOVESE",
"first_name": "RICHARD",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-06",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "OH",
"license": "03208752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.