NPIMap

Organization Active NPI

The Metrohealth System

  • Community/Retail Pharmacy
  • Cleveland, OH
National Provider Identifier
1942493663
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PMY02172595003 Issued in OH
Legal business name
THE METROHEALTH SYSTEM
Practice address
4229 Pearl Rd RM Sm280
Cleveland, OH 44109-4218
Phone
(216) 957-3910
Fax
(216) 957-2160
NPI assigned
Aug 27, 2007
Organization subpart
Yes
Parent organization
THE METROHEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Brandon Doppelheuer
Title
Director, Pharmacy
Phone
(216) 778-8880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PMY02172595003 OH Primary

Addresses

Primary practice location

4229 Pearl Rd RM Sm280
Cleveland, OH 44109-4218

Mailing address

4229 Pearl Rd RM Sm280
Cleveland, OH 44109-4218
Phone (216) 957-3910

Other identifiers 2

IdentifierTypeStateIssuer
2796792MedicaidOH
2081068OtherPK

Other names 1

  • METROHEALTH OLD BROOKLYN PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240926000963 OH DME Supplier - Pharmacy 8628982949 Practice locations: Cleveland, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Metrohealth Old Brooklyn Pharmacy4229 Pearl Rd, Cleveland, OH 44109-4218(216) 778-8880 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Canes and/or Crutches|Walkers|Nebulizer Equipment and/or Su… Accepts assignmentParticipating since Jun 6, 2019

National Provider Directory

National Provider Directory
Tax ID family
Metrohealth West Park38 organizations share this tax ID, including this one
Part of
Metrohealth West Park

Other organizations with this tax ID 37

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

View all 37

Locations

4229 Pearl Rd
Rm SM280
Cleveland, OH 44109
Phone (216) 957-3910

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.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1942493663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 PEARL RD RM SM280",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094218",
            "telephone_number": "216-957-3910",
            "fax_number": "216-957-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 PEARL RD RM SM280",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441094218",
            "telephone_number": "216-957-3910",
            "fax_number": "216-957-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE METROHEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE METROHEALTH SYSTEM",
        "enumeration_date": "2007-08-27",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "DOPPELHEUER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DIRECTOR, PHARMACY",
        "authorized_official_telephone_number": "216-778-8880"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "PMY02172595003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2796792",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2081068",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METROHEALTH OLD BROOKLYN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "METROHEALTH OLD BROOKLYN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.