Healthcare Provider Details

I. General information

NPI: 1811833486
Provider Name (Legal Business Name): NEOVATIONS PHARMACY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 EASTWAY DR
KENT OH
44242-0001
US

IV. Provider business mailing address

4211 STATE ROUTE 44 STE 208-209
ROOTSTOWN OH
44272-9733
US

V. Phone/Fax

Practice location:
  • Phone: 330-325-6621
  • Fax:
Mailing address:
  • Phone: 330-325-6621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: KEVIN FUSCHETTO
Title or Position: VP & DIRECTOR OF CLINICAL SERVICES
Credential: PHARMD
Phone: 330-325-6621