NPIMap

Organization Active NPI

Marc Glassman Inc

  • Community/Retail Pharmacy
  • Wooster, OH
National Provider Identifier
1124590575
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARC GLASSMAN INC
Practice address
1799 Portage Rd
Wooster, OH 44691-1903
Phone
(216) 265-7700
NPI assigned
Dec 26, 2018
Last updated
Dec 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Authorized official

Name
Beth Halloran
Title
Third Party Administrator
Phone
(216) 265-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1799 Portage Rd
Wooster, OH 44691-1903

Mailing address

5841 W 130TH St
Cleveland, OH 44130-9308
Phone (216) 265-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110719000437 OH Part B Supplier - Mass Immunization (Roster Biller Only) 3779602362 40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rocky River, OH; Medina, OH; Mentor, OH; Middleburg Heights, OH; N Ridgeville, OH; North Canton, OH; Parma, OH; Massillon, OH…
O20190903002889 OH DME Supplier - Pharmacy 3779602362 Practice locations: Wooster, OH

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Marc Glassman Inc1799 Portage Rd, Wooster, OH 44691-1903(330) 234-5601 Immunosuppressive Drugs|Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jun 29, 2011

National Provider Directory

National Provider Directory
Tax ID family
Marc Glassman Inc45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

Locations (25 of 27)

47 Shunpike Rd
Cromwell, CT 06416
Phone (860) 632-9092

2891 E Waterloo Rd
Akron, OH 44312
Phone (330) 628-0781

360 E Waterloo Rd
Akron, OH 44319
Phone (330) 773-5554

400 E Waterloo Rd
Akron, OH 44319
Phone (330) 773-5554

300 Aurora Commons Cir
Aurora, OH 44202
Phone (330) 995-9260

4755 Mahoning Ave
Austintown, OH 44515
Phone (330) 792-4875

7359 Northcliff Ave
Brooklyn, OH 44144
Phone (216) 265-7744

3014 Cromer Ave NW
Canton, OH 44709
Phone (330) 492-2963

4304 Belden Village St NW
Canton, OH 44718
Phone (330) 493-3530

5123 Tuscarawas St W
Canton, OH 44708
Phone (304) 778-8623

15030 Puritas Ave
Cleveland, OH 44135
Phone (216) 476-6755

17400 Lorain Ave
Cleveland, OH 44111
Phone (216) 252-4747

470 Howe Ave
Cuyahoga Falls, OH 44221
Phone (330) 928-8611

22840 Lake Shore Blvd
Euclid, OH 44123
Phone (216) 731-7474

900 W Maple St
Hartville, OH 44632
Phone (330) 877-4018

6576 N Ridge Rd
Madison, OH 44057
Phone (440) 428-6737

6645 Eastgate Dr
Mayfield Heights, OH 44124
Phone (440) 449-2681

6695 Eastgate Dr
Mayfield Heights, OH 44124
Phone (440) 449-2681

34800 Center Ridge Rd
North Ridgeville, OH 44039
Phone (440) 353-1601

1650 Snow Rd
Parma, OH 44134
Phone (216) 398-7943

7511 W Ridgewood Dr
Parma, OH 44129
Phone (440) 843-5495

550 W Aurora Rd
Sagamore Hills, OH 44067
Phone (330) 468-4868

2487 E State St
Salem, OH 44460
Phone (330) 337-7358

4499 Mayfield Rd
South Euclid, OH 44121
Phone (216) 691-8990

3732 Darrow Rd
Stow, OH 44224
Phone (330) 686-5280

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1124590575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 W 130TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441309308",
            "telephone_number": "216-265-7700",
            "fax_number": "216-265-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 PORTAGE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911903",
            "telephone_number": "216-265-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC GLASSMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "HALLORAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "216-265-7700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.