Organization Active NPI

Marc Glassman Inc

  • Pharmacy
  • Milford, CT
National Provider Identifier
1497760334
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1411 Issued in CT
Legal business name
MARC GLASSMAN INC
Practice address
480 Boston Post Rd
Milford, CT 06460-2529
Phone
(203) 877-7828
Fax
(203) 882-5775
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 1411 CT Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

480 Boston Post Rd
Milford, CT 06460-2529

Mailing address

5841 W 130TH St
Parma, OH 44130-9308

Other identifiers 2

IdentifierTypeStateIssuer
004139681MedicaidCT
0713950OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • XPECT 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.

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": "1365984000000",
    "number": "1497760334",
    "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": "480 BOSTON POST RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602529",
            "telephone_number": "203-877-7828",
            "fax_number": "203-882-5775"
        }
    ],
    "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": "1411",
            "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": "004139681",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0713950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XPECT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, CT

Sources for this page

  • 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.