NPIMap

Organization Active NPI

The Metrohealth System

Doing business as MetroHealth Beachwood Pharmacy

  • Community/Retail Pharmacy
  • Beachwood, OH
National Provider Identifier
1770164592
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE METROHEALTH SYSTEM
Doing business as
MetroHealth Beachwood Pharmacy
Practice address
3609 Park East Dr FL 1
Beachwood, OH 44122-4331
Phone
(216) 778-8880
NPI assigned
Apr 15, 2021
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE METROHEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Brandon Mark Doppelheuer
Title
Finance and Business Manager
Phone
(216) 778-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3609 Park East Dr FL 1
Beachwood, OH 44122-4331

Mailing address

3609 Park East Dr FL 1
Beachwood, OH 44122-4331
Phone (216) 778-8880

Other names 1

  • MetroHealth Beachwood Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250929000914 OH DME Supplier - Pharmacy 8628982949 Practice locations: Beachwood, OH

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2009411Metrohealth System Moh's Lab-Beachwood3609 Park East Dr, North BLDG, Beachwood, OH 44122AccreditationMay 30, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
The Metrohealth System3609 Park East Dr, Beachwood, OH 44122-4412(216) 957-6337 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 6, 2019

National Provider Directory

National Provider Directory
Tax ID family
Metrohealth Dept of Psy38 organizations share this tax ID, including this one
Part of
Metrohealth Dept of Psy

Other organizations with this tax ID 37

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

View all 37

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Broadway Dental ClinicCleveland, OH, CCN 721941 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2021
Brooklyn Health CenterCleveland, OH, CCN D21051 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 5, 2024
Gordon Square Health CenterCleveland, OH, CCN D21050 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 2, 2024
Heights Wellnes CenterCleveland Heights, OH, CCN D21074 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 7, 2024
Collinwood Health CenterCleveland, OH, CCN D21063 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 7, 2024
Buckeye Health CenterCleveland, OH, CCN D21067 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 7, 2024
Bedford Health CenterBedford, OH, CCN D21072 Federally qualified health center 5% Or Greater Direct Ownership Interest Feb 7, 2024

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • The Metrohealth System

    dba Bedford Health Center

    • Federally Qualified Health Center (FQHC)
    • Bedford, OH
    • NPI 1255184800

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba MetroHealth Broadway Health Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland, OH
    • NPI 1346919362

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba Brooklyn Health Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland, OH
    • NPI 1558114108

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba Gordon Square Health Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland, OH
    • NPI 1700639358

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba Buckeye Health Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland, OH
    • NPI 1710730361

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba Collinwood Health Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland, OH
    • NPI 1780437335

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • The Metrohealth System

    dba Heights Wellness Center

    • Federally Qualified Health Center (FQHC)
    • Cleveland Heights, OH
    • NPI 1861245417

    5% Or Greater Direct Ownership Interest

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1770164592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR FL 1",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224331",
            "telephone_number": "216-778-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 PARK EAST DR FL 1",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224331",
            "telephone_number": "216-778-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE METROHEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE METROHEALTH SYSTEM",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "DOPPELHEUER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "FINANCE AND BUSINESS MANAGER",
        "authorized_official_telephone_number": "216-778-8880"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MetroHealth Beachwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MetroHealth Beachwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.