St. Augustine Services Corp.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ST. AUGUSTINE SERVICES CORP.

Practice address

7801 Detroit Ave
Cleveland, OH 44102-2813

Phone

(216) 634-7425

NPI assigned

Oct 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Edmuna A. Carter, R.PH.

Title

Director of Pharmacy

Phone

(216) 634-7440

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

St Augustine Services Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• St Augustine Services Corp

  • Skilled Nursing Facility
  • Cleveland, OH
  • NPI 1154586287
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edmund A Carter, R.PH.

  • Pharmacotherapy Pharmacist
  • Akron, OH
  • NPI 1942362678
  NPD

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1235128034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022813",
            "telephone_number": "216-634-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022813",
            "telephone_number": "216-634-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AUGUSTINE SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "EDMUNA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "216-634-7440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0852162",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0764249",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Vincent Charity Medical Center (St Vincent Charity Occupational Health)
• St Vincent Charity Medical Center (St Vincent Charity Community Health Center)
• St Vincent Charity Medical Center
• Clemence St-Cyr, NP
• St. Augustine Manor Corp. (St. Augustine Towers)
• Doneisha L St. Clair
• Jennifer St. Marie, RD
• St. Mary's Home Health Care of Ohio LLC
• St. Vincent Charity Health Campus, Inc.
• St. Vincent Charity Hospital

• Long Term Care Pharmacy in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Long Term Care Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.