Organization Active NPI

Church Square Pharmacy Inc

  • Community/Retail Pharmacy
  • Garfield Heights, OH
National Provider Identifier
1669020186
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHURCH SQUARE PHARMACY INC
Practice address
5050 Turney Rd
Garfield Heights, OH 44125-2544
Phone
(216) 510-5649
Fax
(216) 510-5227
NPI assigned
Aug 28, 2019
Last updated
Nov 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Authorized official

Name
Abdel AbukhalilNPI 1427659937
Title
President
Phone
(216) 288-0557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5050 Turney Rd
Garfield Heights, OH 44125-2544

Mailing address

14529 Puritas Ave
Cleveland, OH 44135-2813
Phone (216) 288-0557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221130003385 OH Part B Supplier - Mass Immunization (Roster Biller Only) 2567830250 1 other NPI on this enrollment
Practice locations: North Olmsted, OH; Garfield Heights, OH
O20221228000334 OH Part B Supplier - Pharmacy 2567830250 1 other NPI on this enrollment
Practice locations: Garfield Heights, OH; North Olmsted, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Church Square Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5050 Turney Rd
Garfield Heights, OH 44125
Phone (216) 510-5649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793836800000",
    "number": "1669020186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14529 PURITAS AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441352813",
            "telephone_number": "216-288-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 TURNEY RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252544",
            "telephone_number": "216-510-5649",
            "fax_number": "216-510-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH SQUARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A",
        "authorized_official_last_name": "ABUKHALIL",
        "authorized_official_first_name": "ABDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-288-0557"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.