Marc Glassman Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

1417 Issued in CT

Legal business name

MARC GLASSMAN INC

Doing business as

Xpect Pharmacy

Practice address

47 Shunpike Rd
Cromwell, CT 06416-2447

Phone

(860) 632-9092

Fax

(860) 613-3716

NPI assigned

Jul 29, 2006

Organization subpart

No

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 3

Addresses

Other identifiers 2

Other names 1

• XPECT PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1306851241",
    "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": "47 SHUNPIKE RD",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162447",
            "telephone_number": "860-632-9092",
            "fax_number": "860-613-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC GLASSMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2013-04-15",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "1417",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004137362",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0714041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XPECT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanspaul S Makkar, MD
• Kellina Malavasi, BCBA 1-17-27872
• Igor Malitsky, CPED
• Edward Mann
• Michelle Marais
• Mark Marchitto, MD
• Maria Herasimowicz LLC
• Rachel Noelle Markewicz
• Drita Marku
• Justine Marie Marsh, SLP

• Pharmacy in Cromwell, CT
• Providers in Cromwell, CT by specialty
• Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.