Dave'S Supermarkets Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02-1712950 Issued in OH

Legal business name

DAVE'S SUPERMARKETS INC.

Doing business as

dave's pharmacy 16

Practice address

3628 Mayfield Rd
Cleveland Heights, OH 44118-1403

Phone

(216) 291-8881

Fax

(216) 291-6104

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joel M. Wolfe, PHARMACIST

Title

Pharmacy Manager

Phone

(216) 361-0735

Specialties & licenses 1

Addresses

Other names 1

• dave's pharmacy 16 Doing business as

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1851597124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 MAYFIELD RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181403",
            "telephone_number": "216-291-8881",
            "fax_number": "216-291-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 MAYFIELD RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181403",
            "telephone_number": "216-291-8881",
            "fax_number": "216-291-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE'S SUPERMARKETS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "216-361-0735",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-1712950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dave's pharmacy 16",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Cleveland Heights, OH
• Providers in Cleveland Heights, 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 Nov 19, 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.