Central Medical Arts Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

02163550 Issued in OH

Legal business name

CENTRAL MEDICAL ARTS PHARMACY

Practice address

2475 E 22ND St
Cleveland, OH 44115-3221

Phone

(216) 621-9073

Fax

(216) 621-9685

NPI assigned

Oct 17, 2005

Last updated

Feb 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Berton Collen, R.PH

Title

Owner

Phone

(216) 621-9073

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CMA Pharmacy Other name

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1417946062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153221",
            "telephone_number": "216-621-9073",
            "fax_number": "216-621-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153221",
            "telephone_number": "216-621-9073",
            "fax_number": "216-621-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL ARTS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "COLLEN",
        "authorized_official_first_name": "BERTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-621-9073",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "02163550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMA Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacy in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.