EMMANUEL VENTURES LIMITED LLC (NPI# 1053667204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053667204 |
| Entity Type | Organization |
| Organization Name | EMMANUEL VENTURES LIMITED LLC |
| Other Organization Name | SEVERANCE PHARMACY |
| Practice Address |
4127 E 131st St Miles Supermarket Cleveland OH 44105-5563 |
| Practice Telephone | 2166912369 |
| Practice Fax Number | 2166913119 |
| Mailing Telephone | 2166912369 |
| Mailing Fax Number | 2166913119 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | OPEYEMI ADEWESO (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 2166912369 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RTP.022607100-03 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2136201 | 01 |
| Other Name | Type Code |
|---|---|
| Severance Pharmacy | Doing Business As Name - Organization |
| Street Address |
4127 E 131ST ST MILES SUPERMARKET |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44105-5563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525340 | Horitta R Yelder | Nurse's Aide | 11305 Olney Ct., Cleveland, OH 44105 | 2019-12-13 |
| 1063982643 | Jasmine Harris | Case Manager/Care Coordinator | 6410 S Broadway, Lorain, OH 44105 | 2018-11-27 |
| 1629596556 | Amber M Stinnett | Licensed Practical Nurse | 11322 Matilda Ave., Cleveland, OH 44105 | 2017-08-30 |
| 1154848752 | Latisha A Coleman | Homemaker | 4151 East 106st, Cleveland, OH 44105 | 2017-08-24 |
| 1235651605 | Christina Roberson | Nurse's Aide | 3525 E.106 St, Cleveland, OH 44105 | 2017-07-07 |
| 1982139457 | Robert Lucas | Homemaker | 9122 Miles, Cleveland, OH 44105 | 2017-04-21 |
| 1154719243 | Sabrina L Kirksey | Driver | 7414 Park Avenue, Cleveland, OH 44105 | 2014-12-26 |
| 1518379643 | Hope Academy Northcoast Campus | Local Education Agency (LEA) | 4310 E. 71st Street, Cleveland, OH 44105 | 2014-05-23 |
| 1366853301 | Gabrielle Baker | Contractor | 4071 E. 59th St., Cleveland, OH 44105 | 2014-05-13 |
| 1407266174 | Hermine Christine Terry | Nurse's Aide | 4096 E. 81 Street, Cleveland, OH 44105 | 2014-05-05 |
| Find all providers in zip 44105 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1841854270 | Mps Pharmacy LLC | Pharmacy | 112 S College Ave Ste 100, Cleveland, TX 77327-4502 | 2019-05-01 |
| 1598236861 | Noviembre LLC | Pharmacy | 200 E. Boothe Street, Suite 103, Cleveland, TX 77327 | 2018-12-16 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1548713175 | Najjar Rx Inc. | Pharmacy | 6630 Broadway Ave, Cleveland, OH 44105-1310 | 2016-08-01 |
| 1609246081 | Param Santosh LLC | Pharmacy | 3114 Clark Ave, Cleveland, OH 44109-1146 | 2015-09-29 |
| 1346674900 | Asia Plaza Pharmacy LLC | Pharmacy | 2999 Payne Ave Ste 130, Cleveland, OH 44114-4436 | 2013-08-30 |
| 1477806065 | Cooke Food Store Inc | Pharmacy | 2010 Broomfield Rd Se, Cleveland, TN 37323-3301 | 2012-10-19 |
| 1477832822 | The Centers for Families and Children Pharmacy # 2 | Pharmacy | 3929 Rocky River Dr Ste P-101, Cleveland, OH 44111-4153 | 2011-08-16 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.