MEDISERV CLEVELAND PHCY INC (NPI# 1295813707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295813707 |
| Entity Type | Organization |
| Organization Name | MEDISERV CLEVELAND PHCY INC |
| Practice Address |
1570 Cleveland Ave Columbus OH 43211-2755 |
| Practice Telephone | 6142942642 |
| Practice Fax Number | 6142942645 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TRACY HAMMOND (THIRD PARTY ADMIN) |
| Authorized Official Telephone | 6144814272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0999291 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3660330 | 01 |
| Street Address |
1570 CLEVELAND AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43211-2755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902865173 | Trang Thi An To | Dentist | 1570 Cleveland Ave, Columbus, OH 43211-2755 | 2006-03-17 |
| 1902453228 | Trio Pharmacy | Pharmacy | 1570 Cleveland Ave, Columbus, OH 43211-2755 | 2019-08-21 |
| 1275090953 | Ijeoma P Nnani | Pharmacist | 1570 Cleveland Ave, Columbus, OH 43211-2755 | 2019-02-28 |
| 1295191278 | Tam Minh Tran | Nurse Practitioner | 1570 Cleveland Ave, Columbus, OH 43211-2755 | 2016-01-07 |
| 1306217567 | Ayesu Health Plus, PC | Specialist/Technologist, Other | 1570 Cleveland Ave, Ste 1, Columbus, OH 43211-2755 | 2015-10-14 |
| 1194133074 | John C Ejezie | Pharmacist | 1570 Cleveland Ave, Columbus, OH 43211-2755 | 2014-07-24 |
| 1619309127 | Trio Pharmacy LLC | Registered Nurse | 1570 Cleveland Ave, Columbus, OH 43211-2755 | 2013-08-07 |
| 1366618878 | Social Psychological Services, Inc. | Clinic/Center | 1570 Cleveland Ave, 2nd Floor, Columbus, OH 43211-2755 | 2008-05-05 |
| 1083888010 | Buckeye Family Medicine Inc | Family Medicine | 1570 Cleveland Ave, Columbus, OH 43211-2755 | 2008-04-22 |
| 1720260664 | Bradley Bird | Pharmacist | 1570 Cleveland Ave, Columbus, OH 43211-2755 | 2007-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851751317 | Brittany A Flora | Social Worker | 2440 Dawnlight Avenue, Columbus, OH 43211 | 2016-02-26 |
| 1003289240 | Akialah Haynes | Specialist | 1768 Cleveland Ave, Columbus, OH 43211 | 2015-11-10 |
| 1477955805 | Geraldine Hopkins | Home Health Aide | 2382 Marcia Dr., Columbus, OH 43211 | 2014-09-17 |
| 1932460284 | Moses Moiba | Home Health Aide | 2110 Homestead Dr, Columbus, OH 43211 | 2012-06-04 |
| 1912237298 | Rhonte Latrice Alexander | Registered Nurse | 2703 Clubhouse Dr., Columbus, OH 43211 | 2010-01-08 |
| 1982811030 | Patrick Donald Murphy I | Contractor | 2205 Medina, Columbus, OH 43211 | 2007-05-17 |
| 1053449926 | Project Linden, Inc. | Community/Behavioral Health | 1410 Cleveland Ave., Suite #2, Columbus, OH 43211 | 2007-03-01 |
| 1124180062 | Chester Ronald Corbitt | Dentist | 1598 Cleveland Ave, Columbus, OH 43211 | 2006-12-15 |
| 1861418295 | Annette P Hilaman | Dentist | 2345 Cleveland Ave, Columbus, OH 43211 | 2006-07-15 |
| 1023065703 | Maplewood Medical Center, Inc | Family Medicine | 2052 Cleveland Ave, Columbus, OH 43211 | 2006-05-28 |
| Find all providers in zip 43211 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932424272 | Phillips Clinic Pharmacy | Pharmacy | 881 East Main Street Suite 201, Columbus, OH 43205 | 2010-03-30 |
| 1669498788 | Mbr Pharmacy Inc | Pharmacy | 421 Georgesville Rd, Columbus, OH 43228-2420 | 2006-07-14 |
| 1821629932 | Doctors Pharmacy Hilltop LLC | Pharmacy | 2575 W Broad St, Columbus, OH 43204-3333 | 2020-01-28 |
| 1275999724 | Lower Lights Christian Health Center, Inc. | Pharmacy | 1160 W Broad St, Columbus, OH 43222-1352 | 2016-01-13 |
| 1275961989 | The Ohio State University | Pharmacy | 500 W 12th Ave, 138b Parks Hall, Columbus, OH 43210-1214 | 2013-10-16 |
| 1427492735 | Lower Lights Christian Health Center, Inc. | Pharmacy | 1160 W Broad St, Columbus, OH 43222-1317 | 2013-04-18 |
| 1083877211 | Columbus Area Community Mental Health Center Inc | Pharmacy | 1515 E Broad St, Columbus, OH 43205-1550 | 2008-07-08 |
| 1891839585 | University Health Connection Pharmacy | Pharmacy | 1581 Dodd Dr, Mccampbell Hall, Room 216, Columbus, OH 43210-1257 | 2007-02-16 |
| 1750469268 | Livingston Medical Phcy Inc | Pharmacy | 1289 E Livingston Ave, Columbus, OH 43205-2838 | 2006-11-01 |
| 1669550174 | West Broad Med Phcy Inc | Pharmacy | 2575 W Broad St, Columbus, OH 43204-3333 | 2006-11-01 |
| Find all providers in COLUMBUS | ||||
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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.