The Metrohealth System

Organization Active NPI Community/Retail Pharmacy · Cleveland, OH

NPI 1043619604 · NPPES record last updated Aug 12, 2025

Key facts

NPI
1043619604
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
022442650 (OH)
Legal business name
THE METROHEALTH SYSTEM
Practice address
9885 Rockside Rd Ste 157
Cleveland, OH 44125-6272
Phone
(216) 957-4777
Fax
(216) 957-4760
NPI assigned
Aug 20, 2014
Organization subpart
Yes
Parent organization (as reported)
THE METROHEALTH SYSTEM

Authorized official

Name
Brandon Mark Doppelheuer
Title
Director Pharmacy Business
Phone
(216) 778-8880

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Practitioners 1,150

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,150

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Broadway Dental Clinic
Cleveland, OH · CCN 721941
Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2021
Brooklyn Health Center
Cleveland, OH · CCN D21051
Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 5, 2024
Gordon Square Health Center
Cleveland, OH · CCN D21050
Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 2, 2024
Heights Wellnes Center
Cleveland Heights, OH · CCN D21074
Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 7, 2024
Collinwood Health Center
Cleveland, OH · CCN D21063
Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 7, 2024
Buckeye Health Center
Cleveland, OH · CCN D21067
Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 7, 2024
Bedford Health Center
Bedford, OH · CCN D21072
Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 7, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250328000019 OH DME Supplier - Pharmacy 8628982949 Practice locations: Cleveland, OH

National Provider Directory

Tax ID family
Metrohealth West Park (38 organizations share this tax ID)
Part of
Metrohealth West Park

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 022442650 OH Yes
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

9885 Rockside Rd Ste 157
Cleveland, OH 44125-6272

Mailing address

9885 Rockside Rd Ste 157
Cleveland, OH 44125-6272
Phone (216) 957-4777

Other identifiers

IdentifierTypeStateIssuer
2148353OtherPK
0112033MedicaidOH

Other names

  • MetroHealth Central Fill Pharmacy Doing business as

Other providers in Cleveland, OH

All providers in Cleveland, OH · Community/Retail Pharmacy in Ohio

Sources for this page

Verify at the official NPI Registry.