Provider Demographics
NPI:1922990985
Name:HRIPKO, STEPHEN RICHARD
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:RICHARD
Last Name:HRIPKO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 MAHONING AVE NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-2024
Mailing Address - Country:US
Mailing Address - Phone:330-395-0505
Mailing Address - Fax:
Practice Address - Street 1:2700 MAHONING AVE NW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-2024
Practice Address - Country:US
Practice Address - Phone:330-395-0505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03445652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist