Myrna Elaine Spivack, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03-2-18213 Issued in OH

Practice address

6410 Broadway Ave
Cleveland, OH 44105-1253

Phone

(216) 883-0183

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Myrna Elaine Pendery-Spivack Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1235350794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 BROADWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051253",
            "telephone_number": "216-883-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 BROADWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051253",
            "telephone_number": "216-883-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVACK",
        "first_name": "MYRNA",
        "middle_name": "ELAINE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-18213",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302023660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRNA",
            "last_name": "PENDERY-SPIVACK",
            "middle_name": "ELAINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rena K. Spithas, FNP-C
• Brandee Lauren Spitnale
• Meredith Pamela Spitz, MD
• Ashley Anne Spitzer, LSW
• Amanda Spivack
• Anna Spivak, D.O.
• Catherine Abigail Spivak
• Judy B Splawski, MD
• Katherine Bonell Splitek, M.D.
• Colleen Spolar

• Pharmacist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.