Organization Active NPI

Param Santosh LLC

Doing business as Tony's Pharmacy

  • Long Term Care Pharmacy
  • Cleveland, OH
National Provider Identifier
1366247959
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PARAM SANTOSH LLC
Doing business as
Tony's Pharmacy
Practice address
3114 Clark Ave
Cleveland, OH 44109-1146
Phone
(216) 651-5700
Fax
(216) 744-2594
NPI assigned
Feb 17, 2025
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Dhavalkumar ShahNPI 1154910289
Title
Pharmacist
Phone
(216) 651-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

3114 Clark Ave
Cleveland, OH 44109-1146

Mailing address

3114 Clark Ave
Cleveland, OH 44109-1146
Phone (216) 651-5700

Other identifiers 1

IdentifierTypeStateIssuer
0151611MedicaidOH

Other names 1

  • TONY'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1366247959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 CLARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091146",
            "telephone_number": "216-651-5700",
            "fax_number": "216-744-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 CLARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091146",
            "telephone_number": "216-651-5700",
            "fax_number": "216-744-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAM SANTOSH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DHAVALKUMAR",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "216-651-5700"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151611",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TONY'S 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 Feb 25, 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.