Kristen Patch, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03122189 Issued in OH

Practice address

1044 Belmont Ave.
Second Floor, Outpatient Pharmacy
Youngstown, OH 44504

Phone

(330) 480-3804

Fax

(330) 480-3012

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richard L Berry Pharmacy Inc

  • Community/Retail Pharmacy
  • Austintown, OH
  • NPI 1346333143
  NPD (past)

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1992398036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SQUIRES CT",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061662",
            "telephone_number": "330-718-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE.",
            "address_2": "SECOND FLOOR, OUTPATIENT PHARMACY",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44504",
            "telephone_number": "330-480-3804",
            "fax_number": "330-480-3012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4405 Mahoning Ave",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445151602",
            "country_code": "US",
            "telephone_number": "330-792-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATCH",
        "first_name": "KRISTEN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03122189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Pasku
• Paula Pason
• Phylicia Marie Pasquale
• Bethann Passarello, RPH
• Terry Lorraine Pastovich, REGISTERED NURSE
• Charmi Patel, FNP-BC
• Chetna Patel, APRN
• Dhruvkumar Patel
• Nikil Patel
• Saloni Harshadkumar Patel

• Pharmacist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.