NPIMap

Organization Active NPI

Marc Glassman Inc

  • Community/Retail Pharmacy
  • Mentor on the Lake, OH
National Provider Identifier
1477560498
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARC GLASSMAN INC
Practice address
5929 Andrews Rd
Mentor on the Lake, OH 44060-8532
Phone
(440) 257-5961
Fax
(440) 257-5993
NPI assigned
Aug 2, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
David Florman
Title
3Rd Party Admin
Phone
(216) 265-7700

Corporate family (same tax ID) 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

National Provider Directory

National Provider Directory
Tax ID family
Marc Glassman Inc (45 organizations share this tax ID)

Locations

5929 Andrews Rd
Mentor on the Lake, OH 44060
Phone (440) 257-5961

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 21386530 OH
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

5929 Andrews Rd
Mentor on the Lake, OH 44060-8532

Mailing address

5841 W 130TH St
Parma, OH 44130-9308

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2416782MedicaidOH
3671650OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

NPPES NPI Registry
  • MARCS Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477560498",
    "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": "5929 ANDREWS RD",
            "city": "MENTOR ON THE LAKE",
            "state": "OH",
            "postal_code": "440608532",
            "telephone_number": "440-257-5961",
            "fax_number": "440-257-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC GLASSMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-09-11",
        "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": "21386530",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2416782",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3671650",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mentor on the Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.