Active NPI
Marc Glassman Inc
Doing business as Marcs
- Pharmacy
- Ravenna, OH
National Provider Identifier
1366457202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 21274700
- Legal business name
- MARC GLASSMAN INC
- Doing business as
- Marcs
- Practice address
- 1145 E Main St
Ravenna, OH 44266-3327 - Phone
- (330) 298-3654
- Fax
- (330) 298-3658
- NPI assigned
- Jul 29, 2006
- Last updated
- Jan 30, 2017
- 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
- Mary Beth Halloran
- Title
- Pharacy Admin
- Phone
- (216) 265-7700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 21274700 | OH | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1145 E Main St
Ravenna, OH 44266-3327
Mailing address
5841 W 130TH St
Parma, OH 44130-9308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3669491 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 2250175 | Medicaid | OH |
Other names 1
- MARCS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930039624 | OH | DME Supplier - Pharmacy | 3779602362 | Practice locations: Ravenna, OH |
| 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.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Marcs Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Marc Glassman Inc
Other organizations with this tax ID 44
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Wooster, OH
- NPI 1124590575
Locations
1145 E Main St
Ravenna, OH 44266
Phone (330) 298-3654
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Ravenna, OH
- NPI 1346846326
-
- Pharmacist
- Ravenna, OH
- NPI 1841894508
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": "1485734400000",
"number": "1366457202",
"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": "1145 E MAIN ST",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442663327",
"telephone_number": "330-298-3654",
"fax_number": "330-298-3658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC GLASSMAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2017-01-30",
"status": "A",
"authorized_official_last_name": "HALLORAN",
"authorized_official_first_name": "MARY BETH",
"authorized_official_title_or_position": "PHARACY ADMIN",
"authorized_official_telephone_number": "216-265-7700"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OH",
"license": "21274700",
"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": "3669491",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2250175",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARCS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.