MERCY HEALTH YOUNGSTOWN, LLC (NPI# 1477062289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477062289 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH YOUNGSTOWN, LLC |
| Other Organization Name | MERCY HEALTH BOARDMAN OUPATIENT PHARMACY |
| Practice Address |
8401 Market St Boardman OH 44512-6725 |
| Mailing Address |
Po Box 639922 Cincinnati OH 45263-9922 |
| Practice Telephone | (513) 952-5063 |
| Mailing Telephone | 5139525063 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | KIMBERLY RALSTON (SYSTEM DIRECTO) |
| Authorized Official Telephone | 4199965119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Harness Health Pharmacy | Doing Business As Name - Organization |
| MERCY HEALTH BOARDMAN OUPATIENT PHARMACY | Doing Business As Name - Organization |
| MERCY HEALTH BOARDMAN OUTPATIENT PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154865376 | Mercy Health Youngstown, LLC | General Acute Care Hospital | 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 | 2016-12-07 |
| 1497845192 | Mercy Health Youngstown, LLC | Durable Medical Equipment & Medical Supplies | 2801 Salt Springs Rd, Youngstown, OH 44509-1037 | 2006-10-13 |
| 1306938345 | Mercy Health Youngstown, LLC | Pharmacy | 979 Tibbetts Wick Rd, Suite A, Girard, OH 44420-1182 | 2006-09-28 |
| 1831600295 | Mercy Health Youngstown, LLC | Clinical Medical Laboratory | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2017-10-12 |
| 1083158752 | Mercy Health Youngstown, LLC | General Acute Care Hospital | 45 Mcclurg Rd, Boardman, OH 44512-6737 | 2016-12-14 |
| 1992100127 | Mercy Health Youngstown, LLC | Psychiatric Unit | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2014-10-30 |
| 1962679332 | Mercy Health Youngstown, LLC | Hearing Aid Equipment | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2008-05-14 |
| 1649301557 | Mercy Health Youngstown, LLC | Pharmacy | 1044 Belmont Ave, Park Ave Lobby, Youngstown, OH 44504-1006 | 2007-03-09 |
| 1194855825 | Mercy Health Youngstown, LLC | Pharmacy | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2007-03-06 |
| 1538233309 | Mercy Health Youngstown, LLC | Clinical Medical Laboratory | 667 Eastland Avenue Se, Warren, OH 44484-4503 | 2006-11-20 |
| Street Address |
8401 MARKET ST |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-6725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449233 | Jayshree Rajesh Saraiya | Internal Medicine | 8401 Market St, Boardman, OH 44512 | 2005-07-06 |
| 1245857739 | Gina Schiavone | Nurse Practitioner | 8401 Market St, Boardman, OH 44512-6725 | 2020-06-30 |
| 1730706664 | Mallory Dawn Capretta | Nurse Practitioner | 8401 Market St, Boardman, OH 44512-6725 | 2020-06-26 |
| 1558990010 | Anna Plummer | Student in an Organized Health Care Education/Training Program | 8401 Market St, Boardman, OH 44512-6725 | 2020-04-06 |
| 1336778190 | Tyler Jay Homewood | Student in an Organized Health Care Education/Training Program | 8401 Market St, Boardman, OH 44512-6725 | 2020-04-03 |
| 1376171488 | Ryley Thomas Hausken | Student in an Organized Health Care Education/Training Program | 8401 Market St, Boardman, OH 44512-6725 | 2020-04-01 |
| 1669028395 | Katelyn Nicole Stokes | Nurse Practitioner | 8401 Market St, Boardman, OH 44512-6725 | 2019-08-19 |
| 1720641152 | Brendan Charles Paull | Student in an Organized Health Care Education/Training Program | 8401 Market St, Boardman, OH 44512-6725 | 2019-04-22 |
| 1144883950 | Kayla Prokopakis | Emergency Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2019-04-17 |
| 1528521176 | Lucas Mcguire | Student in an Organized Health Care Education/Training Program | 8401 Market St, Boardman, OH 44512-6725 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306103429 | Good Shepherd Medical Service Corp | Pharmacy | 220 S. Main, Boardman, OR 97818 | 2012-04-13 |
| 1346300159 | Boardman Hardware Inc | Pharmacy | 202 N.w. First, Boardman, OR 97818 | 2006-12-11 |
| 1346236635 | Huber Medical LLC | Pharmacy | 8051 Market St, Suite 2, Boardman, OH 44512-6278 | 2005-09-22 |
| 1154832236 | Columbia River Pharmacy | Pharmacy | 220 S Main St, Boardman, OR 97818 | 2017-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335024 | Hux Enterprises | Pharmacy | 641 Hill Rd N Ste C, Pickerington, OH 43147-9346 | 2020-10-30 |
| 1891302626 | Uc Healthcare System | Pharmacy | 222 Piedmont Ave Ste 2000, Cincinnati, OH 45219-4231 | 2020-09-25 |
| 1619580966 | Lcrg Bros LLC | Pharmacy | 7584 E Main St, Reynoldsburg, OH 43068-1208 | 2020-08-26 |
| 1528686763 | Lorain Chemists Inc | Pharmacy | 3815 Lorain Ave, Cleveland, OH 44113-3710 | 2020-07-13 |
| 1699397646 | D & G Partners LLC | Pharmacy | 7623 E Main St, Reynoldsburg, OH 43068-1209 | 2020-05-13 |
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1689200461 | Cross Point Pharmacy | Pharmacy | 800 Cross Pointe Rd Ste P, Gahanna, OH 43230-6690 | 2020-03-12 |
| 1245870864 | Bravo Rx Pharmacy | Pharmacy | 4125 W Broad St # B, Columbus, OH 43228-1600 | 2020-01-11 |
| 1235777350 | Tan Thai Inc | Pharmacy | 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 | 2019-12-19 |
| 1144868597 | Blanchard Valley Regional Health Center | Pharmacy | 930 Sheriden Dr Ste C, Carey, OH 43316-1502 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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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.