MR. JOHN ANTHONY PETRACCI (NPI# 1013906361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013906361 |
| Entity Type | Individual |
| Full Name | MR. JOHN ANTHONY PETRACCI |
| Credential | R.PH |
| Practice Address |
602 Parmalee Ave Suite 100 Youngstown OH 44510-1653 |
| Practice Telephone | 3307462657 |
| Practice Fax Number | 3307460014 |
| Mailing Telephone | 3307462657 |
| Mailing Fax Number | 3307460014 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS23764 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 03316874 | OH | Pharmacy Service Providers |
| Street Address |
602 PARMALEE AVE SUITE 100 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44510-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618474 | Scott Bryan Tofil | Internal Medicine | 602 Parmalee Ave, Ste 400, Youngstown, OH 44510-1653 | 2005-06-13 |
| 1386037620 | Bhargava Ravi Md, LLC | Internal Medicine | 602 Parmalee Ave, Suite 200, Youngstown, OH 44510-1653 | 2015-03-11 |
| 1457599367 | Nancy A. Thomas | Nurse Practitioner | 602 Parmalee Ave, Suite 400, Youngstown, OH 44510-1653 | 2009-01-30 |
| 1366562852 | Independent Pharmacy Group Inc | Pharmacy | 602 Parmalee Ave, Ste 100, Youngstown, OH 44510-1653 | 2007-03-30 |
| 1457493231 | Mark A Memo | Urology | 602 Parmalee Ave, Suite 300, Youngstown, OH 44510-1653 | 2007-02-12 |
| 1508962564 | Primary Care Associates | Internal Medicine | 602 Parmalee Ave, Suite 400, Youngstown, OH 44510-1653 | 2006-09-16 |
| 1003851833 | Daniel J Ricchiuti | Urology | 602 Parmalee Ave, Suite 300, Youngstown, OH 44510-1653 | 2006-06-17 |
| 1477527257 | Robert R Ricchiuti | Urology | 602 Parmalee Ave, Suite 300, Youngstown, OH 44510-1653 | 2006-02-16 |
| 1790759769 | Vincent S. Ricchiuti | Urology | 602 Parmalee Ave, Suite 300, Youngstown, OH 44510-1653 | 2006-02-15 |
| 1851389282 | Vivian I Starr | Internal Medicine | 602 Parmalee Ave, Suite 400, Youngstown, OH 44510-1653 | 2005-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889457 | Abolfazl Sodagar | Internal Medicine | 1001 Covington Street, Youngstown, OH 44510 | 2018-01-28 |
| 1285298422 | Kabir Kunwar | Internal Medicine | 1001 Covington Ave, Youngstown, OH 44510 | 2019-04-23 |
| 1861978603 | Fatemeh Dehghan Manshadi | Counselor | 611 Belmont Avenue, Youngstown, OH 44510 | 2018-07-16 |
| 1952780256 | Stephen Dominic Pupillo | Internal Medicine | 1001 Covington St, Youngstown, OH 44510 | 2015-05-20 |
| 1588005946 | Lisa J Cascarelli | Registered Nurse | 1001 Covington St, Youngstown, OH 44510 | 2013-07-15 |
| 1891041141 | Lillianne Stanitsas | Surgery | 1001 Covington St, Youngstown, OH 44510 | 2012-07-24 |
| 1356361075 | Fred R Pruitt | Internal Medicine | 550 Parmalee Ave, Suite 310, Youngstown, OH 44510 | 2006-07-19 |
| 1912900341 | Scientific Medical Imaging, Inc. | Specialist | 540 Parmalee Ave, Suite 100, Youngstown, OH 44510 | 2005-05-31 |
| 1972128130 | Destiny Frost | Home Health Aide | 2749 Hammaker St, Youngstown, OH 44510-1037 | 2020-06-13 |
| 1225638547 | Sharell Shanta Williams | Nurse's Aide | 1102 Norwood Ave, Youngstown, OH 44510-1104 | 2020-10-27 |
| Find all providers in zip 44510 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013803 | Priti C Shah | Pharmacist | 8523 Hickory Hill Dr, Youngstown, OH 44514-3285 | 2020-11-06 |
| 1447851977 | Pennie Parks | Pharmacist | 1288 Victory Hill Ln, Youngstown, OH 44515-4377 | 2020-11-02 |
| 1467707117 | Courtney Salvino | Pharmacist | 3527 Canfield Rd, Youngstown, OH 44511-2816 | 2012-07-18 |
| 1740565548 | Elias Emile Boulos Jr. | Pharmacist | 40 North Meridian Rd, Youngstown, OH 44509 | 2011-10-13 |
| 1760773329 | Lynne Marie Jones | Pharmacist | 5231 Winged Foot Dr, Youngstown, OH 44512-3977 | 2011-04-29 |
| 1548551757 | John F Mingo | Pharmacist | 693 Mccartney Rd, Youngstown, OH 44505-5016 | 2011-04-21 |
| 1295025302 | Sara Tabak | Pharmacist | 540 E Midlothian Blvd, Youngstown, OH 44502-2545 | 2011-04-10 |
| 1518256833 | Larry P Iorio | Pharmacist | 2800 Mahoning Ave, Youngstown, OH 44509-2734 | 2011-04-07 |
| 1083903181 | Erin Lynn Whitacre | Pharmacist | 2704 Belmont Ave, Youngstown, OH 44505-1820 | 2011-03-30 |
| 1992939623 | Eric Brandon Slick | Pharmacist | 307 Boardman Canfield Rd, Youngstown, OH 44512-4702 | 2009-05-10 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44510 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.