Ameriwell Beneficial Community Services

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

022507050-03 Issued in OH

Legal business name

AMERIWELL BENEFICIAL COMMUNITY SERVICES

Doing business as

AmeriWell pharmacy

Practice address

9500 Detroit Ave
Cleveland, OH 44102

Phone

(216) 283-3865

Fax

(216) 651-1590

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Raymond Murphy, BS PHARMNPI 1932584752

Title

Director of Pharmacy

Phone

(216) 283-3865

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• AmeriWell pharmacy Doing business as

Tax ID family

Ameriwell Beneficial Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ameriwell Beneficial Community Services

  • Long Term Care Pharmacy
  • Cleveland, OH
  • NPI 1053707463
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond George Murphy, RPH

  • Pharmacist
  • Cleveland, OH
  • NPI 1932584752
  NPD Authorized official

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1871970004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021852",
            "telephone_number": "216-283-3865",
            "fax_number": "216-651-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44102",
            "telephone_number": "216-283-3865",
            "fax_number": "216-651-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIWELL BENEFICIAL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "216-283-3865",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "022507050-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153710",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142319",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AmeriWell pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AmeriWell pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Long Term Care Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.