Organization Active NPI

The Cleveland Clinic Foundation

Doing business as Cleveland Clinic Mansfield Cancer Center Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Mansfield, OH
National Provider Identifier
1902220387
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE CLEVELAND CLINIC FOUNDATION
Doing business as
Cleveland Clinic Mansfield Cancer Center Pharmacy
Practice address
1125 Aspira CT
Mansfield, OH 44906-4125
Phone
(419) 756-2122
NPI assigned
Feb 6, 2014
Last updated
Jan 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Daniel Medve
Title
Director
Phone
(216) 973-3321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1125 Aspira CT
Mansfield, OH 44906-4125

Mailing address

9500 Euclid Ave
JJ10
Cleveland, OH 44195-0001
Phone (216) 444-2200

Other names 1

  • Cleveland Clinic Mansfield Cancer Center Pharmacy Doing business as

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
36D0344631Cleveland Clinic Mansfield Cancer Center1125 Aspira Court, Mansfield, OH 44906AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1902220387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "JJ10",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 ASPIRA CT",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064125",
            "telephone_number": "419-756-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLEVELAND CLINIC FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "MEDVE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-973-3321"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Clinic Mansfield Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cleveland Clinic Mansfield Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.