Organization Active NPI

The Metrohealth System

Doing business as MetroHealth Brooklyn Memphis Pharmacy

  • Pharmacy
  • Cleveland, OH
National Provider Identifier
1992529911
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
THE METROHEALTH SYSTEM
Doing business as
MetroHealth Brooklyn Memphis Pharmacy
Practice address
5208 Memphis Ave
Cleveland, OH 44144-2231
Phone
(216) 957-6337
NPI assigned
Nov 15, 2024
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THE METROHEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Brandon Mark Doppelheuer
Title
Director Pharmacy Finance and Busin
Phone
(216) 778-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

5208 Memphis Ave
Cleveland, OH 44144-2231

Mailing address

5208 Memphis Ave
Cleveland, OH 44144-2231
Phone (216) 957-6337

Other names 1

  • MetroHealth Brooklyn Memphis Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251016000053 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
The Metrohealth System5208 Memphis Ave, Cleveland, OH 44144-2231(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

Locations (25 of 38)

1010 Eaton Blvd
Beachwood, OH 44122
Phone (216) 778-5864

29125 Chagrin Blvd
#110
Beachwood, OH 44122
Phone (216) 591-0523

29125 Chagrin Blvd
Ste 110
Beachwood, OH 44122
Phone (216) 591-0523

29125 Chagrin Blvd
Ste 131
Beachwood, OH 44122
Phone (216) 755-1116

3609 Park East Dr
#2
Beachwood, OH 44122
Phone (216) 957-9959

3609 Park East Dr
#3
Beachwood, OH 44122
Phone (216) 957-9959

3609 Park East Dr
#4
Beachwood, OH 44122
Phone (216) 957-9959

3609 Park East Dr
#5
Beachwood, OH 44122
Phone (216) 957-9959

1299 Industrial Pkwy N
Fl 2
Brunswick, OH 44212
Phone (216) 957-1450

15500 S Waterloo Rd
Cleveland, OH 44110
Phone (216) 696-3876

2500 Metrohealth Dr
#6A
Cleveland, OH 44109
Phone (216) 778-3792

2999 Payne Ave
Ste 216
Cleveland, OH 44114
Phone (216) 861-4646

3609 Park East Dr
Cleveland, OH 44122
Phone (216) 292-6150

3949 Lee Rd
Cleveland, OH 44128
Phone (216) 991-8318

4269 Pearl Rd
Ste 102
Cleveland, OH 44109
Phone (216) 661-8131

6705 Detroit Ave
#117
Cleveland, OH 44102
Phone (216) 957-4905

6835 Broadway Ave
Rm 2167
Cleveland, OH 44105
Phone (216) 957-6337

13263 Cedar Rd
Cleveland Heights, OH 44118
Phone (216) 320-2375

5101 W Creek Rd
Independence, OH 44131
Phone (216) 778-5864

6595 Brecksville Rd
Independence, OH 44131
Phone (216) 520-2045

17525 Rosbough Blvd
Middleburg Heights, OH 44130
Phone (216) 778-5864

17525 Rosbough Blvd
Rm 1701
Middleburg Heights, OH 44130
Phone (216) 957-9700

17525 Rosbough Blvd
Rm 1702
Middleburg Heights, OH 44130
Phone (216) 957-9700

17525 Rosbough Blvd
Rm 1703
Middleburg Heights, OH 44130
Phone (216) 957-9700

17525 Rosbough Blvd
Rm 1704
Middleburg Heights, OH 44130
Phone (216) 957-9700

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.

Practitioners & affiliated clinicians

Practitioners 2,253

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 2,253

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1992529911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 MEMPHIS AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441442231",
            "telephone_number": "216-957-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 MEMPHIS AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441442231",
            "telephone_number": "216-957-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE METROHEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE METROHEALTH SYSTEM",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "DOPPELHEUER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR PHARMACY FINANCE AND BUSIN",
        "authorized_official_telephone_number": "216-778-8880"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MetroHealth Brooklyn Memphis Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.