NPIMap

Organization Active NPI

Marc Glassman Inc

  • Community/Retail Pharmacy
  • Willowick, OH
National Provider Identifier
1669487500
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARC GLASSMAN INC
Practice address
29700 Lake Shore Blvd
Willowick, OH 44095-4609
Phone
(440) 944-2801
Fax
(440) 944-8713
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Mary Beth Halloran
Title
Pharmacy Admin
Phone
(216) 265-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 20591350 OH
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

29700 Lake Shore Blvd
Willowick, OH 44095-4609

Mailing address

5841 W 130TH St
Parma, OH 44130-9308

Other identifiers 2

IdentifierTypeStateIssuer
3652612OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0945679MedicaidOH

Other names 1

  • MARCS Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930064935 OH DME Supplier - Pharmacy 3779602362 Practice locations: Willowick, 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…

Other NPIs on the same Medicare enrollment 40

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

View all 40

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Marc Glassman Inc29700 Lake Shore Blvd, Willowick, OH 44095-4609(440) 944-2801 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jun 29, 2011

National Provider Directory

National Provider Directory
Tax ID family
Marc Glassman Inc45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1669487500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 W 130TH ST",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441309308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29700 LAKE SHORE BLVD",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440954609",
            "telephone_number": "440-944-2801",
            "fax_number": "440-944-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC GLASSMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "HALLORAN",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "PHARMACY ADMIN",
        "authorized_official_telephone_number": "216-265-7700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "20591350",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3652612",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0945679",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willowick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.