Active NPI
Marc Glassman Inc
Doing business as Marcs
- Pharmacy
- Cleveland, OH
National Provider Identifier
1295740132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 20643250
- Legal business name
- MARC GLASSMAN INC
- Doing business as
- Marcs
- Practice address
- 15030 Puritas Ave
Cleveland, OH 44135-2712 - Phone
- (216) 476-6755
- Fax
- (216) 476-6757
- NPI assigned
- Jul 29, 2006
- Last updated
- Nov 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Florman
- Title
- 3Rd Party Admin
- Phone
- (216) 265-7700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 20643250 | OH | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
15030 Puritas Ave
Cleveland, OH 44135-2712
Mailing address
5841 W 130TH St
Parma, OH 44130-9308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3654743 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0832371 | Medicaid | OH |
Other names 1
- MARCS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110719000437 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 3779602362 |
40 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rocky River, OH; Medina, OH; Mentor, OH; Middleburg Heights, OH; N Ridgeville, OH; North Canton, OH; Parma, OH; Massillon, OH… |
Other NPIs on the same Medicare enrollment 40
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
15030 Puritas Ave
Cleveland, OH 44135
Phone (216) 476-6755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195776000000",
"number": "1295740132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5841 W 130TH ST",
"city": "PARMA",
"state": "OH",
"postal_code": "441309308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15030 PURITAS AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441352712",
"telephone_number": "216-476-6755",
"fax_number": "216-476-6757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC GLASSMAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2007-11-23",
"status": "A",
"authorized_official_last_name": "FLORMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "3RD PARTY ADMIN",
"authorized_official_telephone_number": "216-265-7700"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OH",
"license": "20643250",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3654743",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0832371",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARCS",
"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 Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.