NPIMap

Organization Active NPI

Marc Glassman Inc

  • Community/Retail Pharmacy
  • Garfield HTS, OH
National Provider Identifier
1750396693
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
Doing business as
MARCS
Practice address
12650 Rockside Rd
Garfield HTS, OH 44125-4525
Phone
(216) 475-2568
Fax
(216) 475-2183
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 20556600 OH
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

12650 Rockside Rd
Garfield HTS, OH 44125-4525

Mailing address

5841 W 130TH St
Parma, OH 44130-9308

Other identifiers 2

IdentifierTypeStateIssuer
3650377OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0938007MedicaidOH

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
O20100930064937 OH DME Supplier - Pharmacy 3779602362 Practice locations: Garfield Heights, 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 Inc12650 Rockside Rd, Garfield Heights, OH 44125-4525(216) 475-2568 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

Locations

12650 Rockside Rd
Garfield Hts, OH 44125
Phone (216) 475-2568

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": "1750396693",
    "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": "12650 ROCKSIDE RD",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441254525",
            "telephone_number": "216-475-2568",
            "fax_number": "216-475-2183"
        }
    ],
    "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": "20556600",
            "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": "3650377",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0938007",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garfield HTS, 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.