Clara Gracon

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

09201502 Issued in OH

Practice address

2323 Broadview Rd
Cleveland, OH 44109-4177

Phone

(216) 661-5077

NPI assigned

Apr 19, 2021

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rite Aid of Ohio Inc

  dba Rite Aid Pharmacy 03148

  • Community/Retail Pharmacy
  • Cleveland, OH
  • NPI 1104937283
  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1164003463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 AMBERLEY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093504",
            "telephone_number": "216-789-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094177",
            "telephone_number": "216-661-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACON",
        "first_name": "CLARA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "OH",
            "license": "09201502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "15083961",
            "identifier": "15083961",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vaccines",
            "affiliation": "N",
            "endpointDescription": "Registered",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2323 Broadview Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441094177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vaccines",
            "affiliation": "N",
            "endpointDescription": "Registered",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2323 Broadview Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441094177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vaccines",
            "affiliation": "N",
            "endpointDescription": "Registered",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2323 Broadview Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441094177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vaccines",
            "affiliation": "N",
            "endpointDescription": "Registration",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Registration",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2323 Broadview Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441094177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vaccines",
            "affiliation": "N",
            "endpointDescription": "Registered",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2323 Broadview Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441094177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mi Love Ahava Grace
• Ryan McCaffrey Grace
• Graced to Nurture, LLC
• Maria Esther Graciani, BSW
• Gracious Life, LLC
• Linette Kay Graddic, LPC
• Sara Grace Gradisar, MD
• Emily Grady, MA, LPCC
• Kathryn C Grady, CNP
• Martin V Grady, MD

• Technician/Technologist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Technician/Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.