Organization Active NPI

Marc Glassman Inc

  • Pharmacy
  • Westlake, OH
National Provider Identifier
1093720930
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
21170450 Issued in OH
Legal business name
MARC GLASSMAN INC
Doing business as
MARCS
Practice address
30050 Detroit Rd
Westlake, OH 44145-1943
Phone
(440) 808-0211
Fax
(440) 808-0215
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
David Florman
Title
3Rd Party Admin
Phone
(216) 265-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 21170450 OH Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

30050 Detroit Rd
Westlake, OH 44145-1943

Mailing address

5841 W 130TH St
Parma, OH 44130-9308

Other identifiers 2

IdentifierTypeStateIssuer
2155840MedicaidOH
3667423OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MARCS Doing business as

National Provider Directory

National Provider Directory

Locations

30050 Detroit Rd
Westlake, OH 44145
Phone (440) 808-0211

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1093720930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 W 130TH ST",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441309308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30050 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451943",
            "telephone_number": "440-808-0211",
            "fax_number": "440-808-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC GLASSMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "FLORMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "3RD PARTY ADMIN",
        "authorized_official_telephone_number": "216-265-7700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "21170450",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155840",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3667423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.