NPIMap

Organization Active NPI

Signature Health Inc. Pharmacy

  • Long Term Care Pharmacy
  • Maple Heights, OH
National Provider Identifier
1285072603
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SIGNATURE HEALTH INC. PHARMACY
Practice address
21100 Southgate Park Blvd
Maple Heights, OH 44137-3004
Phone
(216) 395-1060
NPI assigned
Jun 7, 2013
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Kelley S Dragar, PHARM D.
Title
Chief Pharmacy Officer
Phone
(216) 663-6100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU
Long Term Care Pharmacy 3336L0003X NU Primary
Specialty Pharmacy 3336S0011X CLPH022312750 OH

Addresses

Primary practice location

21100 Southgate Park Blvd
Maple Heights, OH 44137-3004

Mailing address

21100 Southgate Park Blvd
Maple Heights, OH 44137-3004
Phone (216) 395-1060

National Provider Directory

National Provider Directory
Tax ID family
The North Coast Center29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

5410 Transportation Blvd
Ste 4
Garfield Hts, OH 44125
Phone (216) 663-6100

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1285072603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21100 SOUTHGATE PARK BLVD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373004",
            "telephone_number": "216-395-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21100 SOUTHGATE PARK BLVD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373004",
            "telephone_number": "216-395-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HEALTH INC. PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "DRAGAR",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "216-663-6100",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "OH",
            "license": "CLPH022312750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.