NPIMap

Organization Active NPI

Medina Hospital

  • Institutional Pharmacy
  • Medina, OH
National Provider Identifier
1164785986
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
02-0037300 Issued in OH
Legal business name
MEDINA HOSPITAL
Practice address
1000 E Washington St
Medina, OH 44256-2170
Phone
(330) 721-5152
Fax
(330) 721-4916
NPI assigned
Jun 18, 2012
Organization subpart
Yes
Parent organization
CLEVELAND CLINIC FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Authorized official

Name
Mr. Donald Carroll, MHA, RPH
Title
Senior Director
Phone
(216) 448-5529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 02-0037300 OH Primary

Addresses

Primary practice location

1000 E Washington St
Medina, OH 44256-2170

Mailing address

1000 E Washington St
Medina, OH 44256-2170
Phone (330) 721-5152

Other names 1

  • CCF Medina Ambulatory Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medina Cardiology4 organizations share this tax ID, including this one
Part of
Dept of Thorcardiovas

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1164785986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E WASHINGTON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562170",
            "telephone_number": "330-721-5152",
            "fax_number": "330-721-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E WASHINGTON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562170",
            "telephone_number": "330-721-5152",
            "fax_number": "330-721-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEVELAND CLINIC FOUNDATION",
        "enumeration_date": "2012-06-18",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "216-448-5529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA, RPH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "OH",
            "license": "02-0037300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCF Medina Ambulatory Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.