Comprehensive Ventures Unlimited Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020532350 Issued in OH

Legal business name

COMPREHENSIVE VENTURES UNLIMITED INC

Practice address

125 E Broad St
Suite 109
Elyria, OH 44035-6400

Phone

(440) 329-7300

Fax

(440) 329-7441

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Joyce Moran, RPHNPI 1326433210

Title

MGR,Pic, Ao

Phone

(440) 329-7300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GATES PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

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

• Joyce Moran, RPH

  • Pharmacist
  • Elyria, OH
  • NPI 1326433210
  NPD (past) Authorized official
• Shane Burnsworth

  • Pharmacist
  • Amherst, OH
  • NPI 1194007419
  NPD
• Darby Shae Bryce, PHARMD

  • Pharmacist
  • Elyria, OH
  • NPI 1720664774
  NPD (past)
• Olivia Marie Fritz, PHARMD

  • Pharmacist
  • Elyria, OH
  • NPI 1932715638
  NPD (past)
• Janice Beverly Marciniak, R.PH.

  • Pharmacist
  • New Philadelphia, OH
  • NPI 1265512461
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1679615249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E BROAD ST",
            "address_2": "SUITE 109",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356400",
            "telephone_number": "440-329-7300",
            "fax_number": "440-329-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E BROAD ST",
            "address_2": "SUITE 109",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356400",
            "telephone_number": "440-329-7300",
            "fax_number": "440-329-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE VENTURES UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "MGR,PIC, AO",
        "authorized_official_telephone_number": "440-329-7300",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020532350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2078013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0699623",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GATES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Constellation Schools: Elyria Community Elementary

• Community/Retail Pharmacy in Elyria, OH
• Providers in Elyria, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.