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Dr. Carl Fossaceca , PharmD

Physician β€’ Warren, OH

Deactivated NPI 1609265313 Deactivated in NPPES Male Practitioner
Practice location in NPPES

8600 E Market St, Unit #9
Warren, OH 444842375

Phone: 3302192734

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of July 12, 2018; the reason is not published. The records below are historical. They do not show whether Dr. Carl Fossaceca currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date January 19, 2015
NPI Deactivation Date July 12, 2018
NPI Active Period 2015 – 2018

Practice Location & Contact Primary Location

Practice Address

8600 E Market St
Unit #9

Warren, OH 444842375

Telephone 3302192734
Organization at the Same NPPES Address or Phone
Father & Son Pharmaceuticals, Llc Facility NPI 1790175008

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Warren and Ohio

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacy - Home Infusion Therapy Pharmacy Primary Specialty

NUCC Taxonomy Code: 3336H0001X

Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated July 12, 2018

NPPES lists this NPI as deactivated as of July 12, 2018; the reason is not published.

βœ…
NPI Profile Active June 21, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 21, 2016

Registered at 8600 E MARKET ST, UNIT #9, WARREN, OH 444842375 (Tel: 3302192734)

πŸ“
Business Mailing Address (Initial Record) June 21, 2016

Registered at 8600 E MARKET ST, UNIT #9, WARREN, OH 444842375 (Tel: 3302192734)

πŸ‘€
Provider Name / Credentials (Initial Record) June 21, 2016

Recorded as CARL FOSSACECA, PHARM. D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2016

Pharmacy

🟒
Initial NPI Registration & Enumeration January 19, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609265313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2015
Last Update: June 21, 2016
Deactivation Date: July 12, 2018

Mailing Address

8600 E Market St, Unit #9

Warren, OH 444842375

Phone: 3302192734

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.