Organization Active NPI

Mt Pleasant Pharmacy LLC

  • Community/Retail Pharmacy
  • Garfield Heights, OH
National Provider Identifier
1538438130
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP022169850 Issued in OH
Legal business name
MT PLEASANT PHARMACY LLC
Doing business as
Mt Pleasant Pharmacy
Practice address
12395 McCracken Rd Ste G
Garfield Heights, OH 44125-2946
Phone
(216) 672-4377
Fax
(216) 475-4200
NPI assigned
Dec 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Michael Asiedu-Gyekye
Title
Owner/Responsible Pharmacist
Phone
(216) 200-2488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RTP022169850 OH Primary

Addresses

Primary practice location

12395 McCracken Rd Ste G
Garfield Heights, OH 44125-2946

Mailing address

12395 McCracken Rd
Ste G
Garfield Heights, OH 44125-2967
Phone (216) 672-4377

Other identifiers 2

IdentifierTypeStateIssuer
3680130OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0059210MedicaidOH

Other names 1

  • Mt Pleasant Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

12395 McCracken Rd
Ste G
Garfield Heights, OH 44125
Phone (216) 672-4377

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1538438130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD",
            "address_2": "STE G",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252967",
            "telephone_number": "216-672-4377",
            "fax_number": "216-475-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 MCCRACKEN RD STE G",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252946",
            "telephone_number": "216-672-4377",
            "fax_number": "216-475-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PLEASANT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "ASIEDU-GYEKYE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/RESPONSIBLE PHARMACIST",
        "authorized_official_telephone_number": "216-200-2488"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP022169850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3680130",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059210",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Pleasant Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.