JELENA SRDIC (NPI# 1750836425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750836425 |
| Entity Type | Individual |
| Full Name | JELENA SRDIC |
| Credential | PHARM.D |
| Practice Address |
16400 Chagrin Blvd Shaker Heights OH 44120-3714 |
| Mailing Address |
7614 S Tamarack Dr Parma OH 44134-6227 |
| Practice Telephone | 2165614007 |
| Practice Fax Number | 2165617280 |
| Mailing Telephone | 4408620587 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03334952 | OH | Pharmacy Service Providers |
| Street Address |
16400 CHAGRIN BLVD |
| City | SHAKER HEIGHTS |
| State | OH |
| Zip Code | 44120-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043225055 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 16400 Chagrin Blvd, Shaker Heights, OH 44120-3714 | 2006-07-29 |
| 1467076232 | Adam John Wilcox | Pharmacist | 16400 Chagrin Blvd, Shaker Heights, OH 44120-3714 | 2020-06-08 |
| 1619133121 | Adam Russell Bodak | Pharmacist | 16400 Chagrin Blvd, Shaker Heights, OH 44120-3714 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1396343752 | Chauncey Lang | Homemaker | 3090 #10 Livingston Ave, Cleveland, OH 44120 | 2020-10-16 |
| 1558999607 | Delores Collins | Community Health Worker | 12200 Farhill Rd C-349, Cleveland, OH 44120 | 2020-04-01 |
| 1497396949 | Renisha Delia Spencer | Home Health | 3387 E. 137th Street, Cleveland, OH 44120 | 2019-10-07 |
| 1598313249 | Torrence Hands Healthcare LLC | Clinic/Center | 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 | 2019-08-27 |
| 1164908067 | Complete Recovery LLC | Clinic/Center | 2618 N Moreland Blvd, Cleveland, OH 44120 | 2018-07-13 |
| 1871095000 | Stacy-ann Camile Durrant | Nurse's Aide | 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 | 2018-03-03 |
| 1144749904 | Alliant Health Services | Clinic/Center | 3535 Lee Road, Shaker Heights, OH 44120 | 2017-09-13 |
| 1972025864 | Eugene Platts Jr. | Counselor | 12024 Shaker Blvd # 502, Cleveland, OH 44120 | 2017-07-12 |
| 1942739438 | Aaliyah Fields | Nurse Practitioner | 3070 Becket Rd, Cleveland, OH 44120 | 2017-06-08 |
| Find all providers in zip 44120 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922430990 | Kaylee Ann Adams | Pharmacist | 20405 Chagrin Blvd., Shaker Heights, OH 44122 | 2013-08-01 |
| 1386632107 | Deborah K Gross | Pharmacist | 20145 Van Aken Blvd, Shaker Heights, OH 44122-3618 | 2005-10-06 |
| 1467076232 | Adam John Wilcox | Pharmacist | 16400 Chagrin Blvd, Shaker Heights, OH 44120-3714 | 2020-06-08 |
| 1871134064 | Mastewal Getaneh Belay | Pharmacist | 20405 Chagrin Blvd, Shaker Heights, OH 44122-5324 | 2019-09-30 |
| 1245885763 | Nishit Mahesh Patel | Pharmacist | 20405 Chagrin Blvd, Shaker Heights, OH 44122-5324 | 2019-08-02 |
| 1285039867 | Roy Benjamin Fornwalt II | Pharmacist | 20405 Chagrin Blvd, Shaker Heights, OH 44122-5324 | 2014-10-25 |
| 1346682325 | Ruddy Alexander Jovel-cabrera | Pharmacist | 20405 Chagrin Blvd, Shaker Heights, OH 44122-5324 | 2013-07-19 |
| 1356627731 | Matthew Vibbert | Pharmacist | 20200 Van Aken Blvd, Shaker Heights, OH 44122-3623 | 2011-10-28 |
| 1225314859 | Ashley Lynn Hoschar | Pharmacist | 20200 Van Aken Blvd, Shaker Heights, OH 44122-3623 | 2011-10-27 |
| 1902182959 | Michael Conrad | Pharmacist | 20200 Van Aken Blvd, Shaker Heights, OH 44122-3623 | 2011-10-21 |
| Find all providers in SHAKER HEIGHTS | ||||
| City | SHAKER HEIGHTS |
| Zip Code | 44120 |
Please comment or provide details below to improve the information on JELENA SRDIC.
| 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.