Metrohealth Concordia Care

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

021459150 Issued in OH

Legal business name

METROHEALTH CONCORDIA CARE

Practice address

2373 Euclid Heights Blvd RM 101
Cleveland Heights, OH 44106-2705

Phone

(216) 791-3580

Fax

(216) 791-3281

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Pamela Spears, RPH

Title

Pharmacy Manager

Phone

(216) 791-3580

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Concordia Care3 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.

• Concordia Care

  • PACE Provider Organization
  • Cleveland Heights, OH
  • NPI 1700940657
  NPD tax ID
• McGregorpace

  • Exclusive Provider Organization
  • Cleveland Heights, OH
  • NPI 1376988063
  NPD tax ID

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1700836715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73122",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 EUCLID HEIGHTS BLVD RM 101",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441062705",
            "telephone_number": "216-791-3580",
            "fax_number": "216-791-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROHEALTH CONCORDIA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "216-791-3580",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "OH",
            "license": "021459150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022886",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3674517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle N Meade, APRN.CNP
• Meaningful Lives Non Emergency Transportation Comp
• Memaw Inc
• Daniel K Menyah, MD
• Sharon Messam
• Rasha Radwan Boraei Metwali, RPH
• Paula Mickens-English, PH.D
• Katelyn Marie Millard
• Charline Zimmerman Miller, LPCC-SUPV
• Charlotte Buck Miller, MD

• Institutional Pharmacy in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Institutional Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.