Active NPI
Marc Glassman Inc
Doing business as Marcs
- Pharmacy
- Cuyahoga Falls, OH
National Provider Identifier
1760497606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 20468150
- Legal business name
- MARC GLASSMAN INC
- Doing business as
- Marcs
- Practice address
- 460 Howe Ave
Cuyahoga Falls, OH 44221-4957 - Phone
- (330) 928-8611
- Fax
- (330) 928-9028
- NPI assigned
- Jul 29, 2006
- Last updated
- Jan 27, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 20468150 | OH | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
460 Howe Ave
Cuyahoga Falls, OH 44221-4957
Mailing address
5841 W 130TH St
Parma, OH 44130-9308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0651021 | Medicaid | OH | |
| 3645693 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- MARCS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
460 Howe Ave
Cuyahoga Falls, OH 44221
Phone (330) 928-8611
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": "1485475200000",
"number": "1760497606",
"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": "460 HOWE AVE",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442214957",
"telephone_number": "330-928-8611",
"fax_number": "330-928-9028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC GLASSMAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2017-01-27",
"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": "20468150",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0651021",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3645693",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARCS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.