Individual provider Active NPI

Rana Hartak

  • Pharmacist
  • Bay Village, OH
National Provider Identifier
1093319048
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03337306 Issued in OH
Practice address
27251 Wolf Rd
Bay Village, OH 44140-2020
Phone
(440) 835-1450
NPI assigned
Nov 30, 2020
Last updated
Apr 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03337306 OH Primary

Addresses

Primary practice location

27251 Wolf Rd
Bay Village, OH 44140-2020

Mailing address

27251 Wolf Rd
Bay Village, OH 44140-2020
Phone (440) 835-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03337306OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Apr 16, 2023 Accepting new patients
Walgreen Co PastSince Apr 16, 2023 Accepting new patients
Ohio CVS Stores, L.L.C. PastSince Dec 1, 2021 Accepting new patients
Ohio CVS Stores LLC PastSince Dec 1, 2021 Accepting new patients

Locations

27251 Wolf Rd
Bay Village, OH 44140
Phone (440) 835-1450

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1093319048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27251 WOLF RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402020",
            "telephone_number": "440-835-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27251 WOLF RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402020",
            "telephone_number": "440-835-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTAK",
        "first_name": "RANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03337306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.