Dave'S Supermarket Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020548100 Issued in OH

Legal business name

DAVE'S SUPERMARKET INC.

Doing business as

Dave's Pharmacy

Practice address

3301 Payne Ave
Cleveland, OH 44114-4313

Phone

(216) 361-0735

Fax

(216) 391-6091

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Joel Michael Wolfe, RPH

Title

Pharmacy Manager

Phone

(216) 361-0735

Specialties & licenses 1

Addresses

Other names 1

• Dave's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1245250158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 PAYNE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441144313",
            "telephone_number": "216-361-0735",
            "fax_number": "216-391-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 PAYNE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441144313",
            "telephone_number": "216-361-0735",
            "fax_number": "216-391-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE'S SUPERMARKET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "216-361-0735",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020548100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dave's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Daum, CNS
• Katherine Ann Daunov, RN MSN ANP
• Michael Daunov, DO
• Augustine Dautey
• Pooja Rajesh Dave, MD/MPH
• Dave'S Supermarkets Inc
• Veronica Davenport Wilson, DECEMBER 10TH, 2020
• Holly Davenport
• Trinisa Davenport
• Tyraya Davenport

• Community/Retail Pharmacy in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.