CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC (NPI# 1467979971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467979971 |
| Entity Type | Organization |
| Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC |
| Other Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER OUTPATIENT PHARMACY |
| Practice Address |
444 N Main St Fl 1 Akron OH 44310-3110 |
| Practice Telephone | (330) 379-5125 |
| Practice Fax Number | 3303799086 |
| Mailing Telephone | 3303795125 |
| Mailing Fax Number | 3303799086 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | PATRICIA E WALDER (MANAGER PHARMACY OPERATIONS) |
| Authorized Official Telephone | 3303795125 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PMY02264650-03 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | DEA | FC6500537 | 01 |
| OH | NCPDP | 3685293 | 01 |
| OH | STATE OF OHIO BOARD OF PHARMACY | PMY-022646650-03 | 01 |
| Other Name | Type Code |
|---|---|
| Crystal Clinic Orthopaedic Center Outpatient Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922476 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1 Eagle Valley Ct Ste 101, Broadview Hts, OH 44147-2982 | 2019-06-21 |
| 1134602808 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 500 W Hopocan Ave Ste 102, Barberton, OH 44203-2262 | 2018-09-10 |
| 1013428259 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 437 Portage Trl Ste B, Cuyahoga Falls, OH 44221-3227 | 2017-10-16 |
| 1366002321 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 4466 Fulton Dr Nw, Canton, OH 44718-2864 | 2019-06-20 |
| 1881138063 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Suite 003, Akron, OH 44333-8320 | 2016-12-07 |
| 1801338033 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 4975 Foote Rd, Suite 200, Medina, OH 44256-8748 | 2016-11-04 |
| 1578005708 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1622 E Turkeyfoot Lake Rd, 201, Akron, OH 44312-5277 | 2016-11-04 |
| 1447528930 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3925 Embassy Pkwy, Suite 300, Akron, OH 44333-1782 | 2011-12-12 |
| 1225313448 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 323 High St, Suite C, Wadsworth, OH 44281-1869 | 2011-10-19 |
| 1639402266 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 9318 State Route 14, Streetsboro, OH 44241-5224 | 2009-09-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC | 3925 Embassy Pkwy Ste 250, Akron, OH 44333-1799 |
| Street Address |
444 N MAIN ST FL 1 |
| City | AKRON |
| State | OH |
| Zip Code | 44310-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584085 | Michelle Lynn Lanning | Peer Specialist | 213 E. Glenwood Ave., Akron, OH 44310 | 2020-07-01 |
| 1376172759 | Blake Schach | Student in an Organized Health Care Education/Training Program | Orthopedic Clinic 444 N. Main St., 3rd Floor, Akron, OH 44310 | 2020-04-07 |
| 1528558137 | Nortisha Meco Brown-nelson | Social Worker | 1187 Linden Ave, Akron, OH 44310 | 2018-05-18 |
| 1114429123 | Sharon Denise Shell | Home Health Aide | 1307 Brownstone Ave, Akron, OH 44310 | 2018-03-06 |
| 1467961631 | A Door of Hope Center | Early Intervention Provider Agency | 311 Montrose Ave., Akron, OH 44310 | 2017-09-20 |
| 1750809570 | Laura Stover | Counselor | 445 N Main Street, Akron, OH 44310 | 2017-08-31 |
| 1083131817 | Heather Lynne Barger | Counselor | 15 Frederick Avenue, Akron, OH 44310 | 2017-08-23 |
| 1659898377 | Heidi Irene Sirotzki | Peer Specialist | 215 E. Glenwood Ave., Akron, OH 44310 | 2017-08-23 |
| 1013432939 | Veniece Harris | Licensed Practical Nurse | 1469 Alphada Ave, Apt D5, Akron, OH 44310 | 2017-08-11 |
| 1417493289 | Marcella Brooks | Counselor | 445 North Main Street, Akron, OH 44310 | 2017-01-17 |
| Find all providers in zip 44310 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932442977 | Pet Rescue Rx, Inc. | Pharmacy | 13760 Indian Falls Rd, Akron, NY 14001-9501 | 2013-03-28 |
| 1699026880 | Akron Pharmacy LLC | Pharmacy | 879 E Exchange St, Akron, OH 44306-1127 | 2012-09-27 |
| 1124133160 | Highland Square Pharmacy Inc | Pharmacy | 786 W Market St, Akron, OH 44303-1048 | 2006-08-20 |
| 1528073434 | The Tamarkin Company | Pharmacy | 484 E Waterloo Rd, Akron, OH 44319-1245 | 2006-07-29 |
| 1376558213 | Marc Glassman Inc | Pharmacy | 2891 E Waterloo Rd, Akron, OH 44312-4076 | 2006-07-29 |
| 1386689206 | Discount Drug Mart Inc | Pharmacy | 711 Canton Rd, Akron, OH 44312-2618 | 2006-06-17 |
| 1265436000 | Advanced Infusion Services Ltd | Pharmacy | 160 Opportunity Pkwy, Akron, OH 44307-2211 | 2005-06-09 |
| 1841897865 | Savonpsych LLC | Pharmacy | 947 W Waterloo Rd, Akron, OH 44314-1529 | 2020-10-02 |
| 1972052611 | Summa Health System | Pharmacy | 525 E Market St, Akron, OH 44304-1619 | 2016-09-22 |
| 1528170537 | West Akron Enterprises Inc | Pharmacy | 40 Sand Run Rd, Akron, OH 44313-6200 | 2006-08-31 |
| Find all providers in AKRON | ||||
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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.