Marc Glassman Inc
Organization Active NPI Pharmacy · Sagamore Hills, OH
NPI 1629083563 · NPPES record last updated Jan 30, 2017
Key facts
- NPI
- 1629083563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 21387200 (OH)
- Legal business name
- MARC GLASSMAN INC
- Practice address
- 550 W Aurora Rd
Sagamore Hills, OH 44067-2108 - Phone
- (330) 468-4868
- Fax
- (330) 468-4874
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mary Beth Halloran
- Title
- Pharmacy Admin
- Phone
- (216) 265-7700
Other NPIs on the same Medicare enrollment 40
Corporate family (same tax ID) 44
Practitioners 4
-
Philip Alfano, PHARM. D
-
Vishal Kumar, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Marc Glassman Inc |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930073921 | OH | DME Supplier - Pharmacy | 3779602362 | Practice locations: Sagamore Hills, OH |
| O20110719000437 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 3779602362 |
40 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rocky River, OH; Medina, OH; Mentor, OH; Middleburg Heights, OH; N Ridgeville, OH; North Canton, OH; Parma, OH; Massillon, OH… |
National Provider Directory
- Tax ID family
- Marc Glassman Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 21387200 | OH | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
550 W Aurora Rd
Sagamore Hills, OH 44067-2108
Mailing address
5841 W 130TH St
Parma, OH 44130-9308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3673197 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 2526163 | Medicaid | OH |
Other names
- MARCS
Other providers in Sagamore Hills, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.