Active NPI
CRP Pharmacy LLC
- Pharmacy
- Cleveland, OH
National Provider Identifier
1609288976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 022392900
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.