Active NPI
Ronald Paul Garba
- Pharmacist
- Cleveland, OH
National Provider Identifier
1588955850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03112343
- Practice address
- 2323 Broadview Rd
Cleveland, OH 44109-4177 - Phone
- (216) 661-5077
- Fax
- (216) 661-8508
- NPI assigned
- Apr 21, 2011
- Last updated
- Apr 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03112343 | OH | Primary |
Addresses
Primary practice location
2323 Broadview Rd
Cleveland, OH 44109-4177
Mailing address
1224 Riverside Dr
Huron, OH 44839-2630
Phone (419) 433-3892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03112343 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 03148
- Community/Retail Pharmacy
- Cleveland, OH
- NPI 1104937283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1588955850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 RIVERSIDE DR",
"city": "HURON",
"state": "OH",
"postal_code": "448392630",
"telephone_number": "419-433-3892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 BROADVIEW RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441094177",
"telephone_number": "216-661-5077",
"fax_number": "216-661-8508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBA",
"first_name": "RONALD",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03112343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.