MARC GLASSMAN INC (NPI# 1659386597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659386597 |
| Entity Type | Organization |
| Organization Name | MARC GLASSMAN INC |
| Other Organization Name | MARCS |
| Practice Address |
14861 Detroit Ave Lakewood OH 44107-3909 |
| Mailing Address |
5841 W 130th St Parma OH 44130-9308 |
| Practice Telephone | 2165212191 |
| Practice Fax Number | 2165212291 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | MARY BETH HALLORAN (PHARMACY ADMIN) |
| Authorized Official Telephone | 2162657700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 20729050 | OH | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0909619 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3657826 | 01 |
| Other Name | Type Code |
|---|---|
| MARCS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699278325 | Marc Glassman Inc | Pharmacy | 2100 E Whipp Rd, Kettering, OH 45440-2819 | 2018-03-08 |
| 1619000684 | Marc Glassman Inc | Pharmacy | 3303 Center Rd, Brunswick, OH 44212-3830 | 2007-03-13 |
| 1699854570 | Marc Glassman Inc | Pharmacy | 1833 Coventry Rd, Cleveland Heights, OH 44118-1610 | 2006-11-03 |
| 1477560498 | Marc Glassman Inc | Pharmacy | 5929 Andrews Rd, Mentor On The Lake, OH 44060-8532 | 2006-08-02 |
| 1568479582 | Marc Glassman Inc | Pharmacy | 1650 Snow Rd # 295, Parma, OH 44134-2719 | 2006-08-02 |
| 1902811847 | Marc Glassman Inc | Pharmacy | 425 Water St, Chardon, OH 44024-1236 | 2006-07-29 |
| 1760497606 | Marc Glassman Inc | Pharmacy | 460 Howe Ave, Cuyahoga Falls, OH 44221-4957 | 2006-07-29 |
| 1801801741 | Marc Glassman Inc | Pharmacy | 5725 Smith Rd, Brook Park, OH 44142-2003 | 2006-07-29 |
| 1366457202 | Marc Glassman Inc | Pharmacy | 1145 E Main St, Ravenna, OH 44266-3327 | 2006-07-29 |
| 1912912858 | Marc Glassman Inc | Pharmacy | 16224 Pearl Rd, Strongsville, OH 44136-6038 | 2006-07-29 |
| Street Address |
14861 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174176317 | Olivia Endredi | Pharmacist | 14861 Detroit Ave, Lakewood, OH 44107-3909 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| 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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| 1245843150 | Tommy Ho | Pharmacy | 5864 W Mexico Ave, Lakewood, CO 80232-7044 | 2020-08-28 |
| 1023410149 | Amr Pharmacy LLC | Pharmacy | 1195 Airport Rd Ste 9b, Lakewood, NJ 08701-5970 | 2014-09-19 |
| 1609126416 | New Jersey Cvs Pharmacy LLC | Pharmacy | 596 River Ave, Lakewood, NJ 08701 | 2012-09-19 |
| 1427327568 | Ghlt LLC | Pharmacy | 1195 Route 70, Lakewood, NJ 08701-5946 | 2011-12-19 |
| 1386881746 | Costco Wholesale Corporation | Pharmacy | 340 Lakewood Center Mall, Lakewood, CA 90712 | 2009-01-07 |
| 1881721736 | Taylor Drug LLC | Pharmacy | 123 Madison Ave, Lakewood, NJ 08701-3314 | 2007-02-27 |
| 1164575403 | Westgate Pharmacy Rx LLC | Pharmacy | 112 Hillside Blvd, Lakewood, NJ 08701-3148 | 2007-01-19 |
| 1669529046 | Riser Foods Company | Pharmacy | 14100 Detroit Ave, Lakewood, OH 44107-4524 | 2007-01-05 |
| 1073605705 | New Jersey Cvs Pharmacy LLC | Pharmacy | 198 New Hampshire Ave, Lakewood, NJ 08701-3712 | 2006-09-29 |
| 1548363252 | Ohio Cvs Stores LLC | Pharmacy | 15501 Detroit Ave, Lakewood, OH 44107-3851 | 2006-09-07 |
| Find all providers in LAKEWOOD | ||||
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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.