NPIMap

Organization Active NPI

Lsvamc Pharmacy

  • Primary Care Clinic/Center
  • Brecksville, OH
National Provider Identifier
1659534360
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
03 2 12788 Issued in OH
Legal business name
LSVAMC PHARMACY
Practice address
10000 Brecksville Rd
Pharmacy Service 119B
Brecksville, OH 44141-3204
Phone
(440) 526-3030
Fax
(440) 546-2734
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Maurice Jones, PHARM D
Title
Chief of Pharmacy
Phone
(216) 791-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 03 2 12788 OH Primary

Addresses

Primary practice location

10000 Brecksville Rd
Pharmacy Service 119B
Brecksville, OH 44141-3204

Mailing address

10000 Brecksville Rd
Pharmacy Service 119B
Brecksville, OH 44141-3204
Phone (440) 526-3030

Other names 1

  • VETERANS ADMINISTRATION Other name

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

10000 Brecksville Rd
#119B
Brecksville, OH 44141

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1659534360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE RD",
            "address_2": "PHARMACY SERVICE 119B",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413204",
            "telephone_number": "440-526-3030",
            "fax_number": "440-546-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BRECKSVILLE RD",
            "address_2": "PHARMACY SERVICE 119B",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413204",
            "telephone_number": "440-526-3030",
            "fax_number": "440-546-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSVAMC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "CHIEF OF PHARMACY",
        "authorized_official_telephone_number": "216-791-3800",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "03 2 12788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VETERANS ADMINISTRATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.