NPIMap

Organization Active NPI

The Cleveland Clinic Foundation

Doing business as Cleveland Clinic Childrens Ambulatory Pharmacy

  • Clinic Pharmacy
  • Cleveland, OH
National Provider Identifier
1245212869
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
02-1237150 Issued in OH
Legal business name
THE CLEVELAND CLINIC FOUNDATION
Doing business as
Cleveland Clinic Childrens Ambulatory Pharmacy
Practice address
8950 Euclid Ave
Cleveland, OH 44106-2971
Phone
(216) 444-9525
Fax
(216) 445-0025
NPI assigned
Nov 18, 2005
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Mr. Tim Longville
Title
Chief Accounting Officer
Phone
(216) 636-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 02-1237150 OH Primary

Addresses

Primary practice location

8950 Euclid Ave
Cleveland, OH 44106-2971

Mailing address

9500 Euclid Ave, JJ10
Cleveland, OH 44195-2971
Phone (216) 444-9525

Other identifiers 1

IdentifierTypeStateIssuer
2210262MedicaidOH

Other names 1

  • Cleveland Clinic Childrens Ambulatory Pharmacy Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1245212869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE, JJ10",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441952971",
            "telephone_number": "216-444-9525",
            "fax_number": "216-445-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062971",
            "telephone_number": "216-444-9525",
            "fax_number": "216-445-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLEVELAND CLINIC FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "LONGVILLE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "216-636-7416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "OH",
            "license": "02-1237150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Clinic Childrens Ambulatory Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.