Organization Active NPI

CRP Pharmacy LLC

  • Pharmacy
  • Cleveland, OH
National Provider Identifier
1609288976
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
022392900 Issued in OH
Legal business name
CRP PHARMACY LLC
Practice address
10567 Saint Clair Ave
Cleveland, OH 44108-1973
Phone
(855) 856-9582
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Guenet Indale, PHD
Title
Owner
Phone
(216) 288-5992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 022392900 OH Primary

Addresses

Primary practice location

10567 Saint Clair Ave
Cleveland, OH 44108-1973

Mailing address

10567 St. Clair Ave
Cleveland, OH 44108

National Provider Directory

National Provider Directory

Locations

10567 Saint Clair Ave
Cleveland, OH 44108
Phone (855) 856-9582

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1609288976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10567 ST. CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10567 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441081973",
            "telephone_number": "855-856-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "INDALE",
        "authorized_official_first_name": "GUENET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-288-5992",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "022392900",
            "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 Aug 15, 2014; 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.