CLEVELAND CLINIC CHILDRENS AMBULATORY PHARMACY – NPI #1245212869
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.

CLEVELAND CLINIC CHILDRENS AMBULATORY PHARMACY is a pharmacy located in CLEVELAND, OH. NPPES has assigned the NPI number 1245212869 to CLEVELAND CLINIC CHILDRENS AMBULATORY PHARMACY on November 18, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLEVELAND CLINIC CHILDRENS AMBULATORY PHARMACY” is a dba name, the actual legal business name for this organization is THE CLEVELAND CLINIC FOUNDATION. The primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy

The NPI profile was last updated on Jan 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEVELAND CLINIC CHILDRENS AMBULATORY PHARMACY below.

NPI Profile for
THE CLEVELAND CLINIC FOUNDATION

NPI Number
1245212869
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE CLEVELAND CLINIC FOUNDATION
Doing Business As (dba): CLEVELAND CLINIC CHILDRENS AMBULATORY PHARMACY
Primary location
8950 EUCLID AVE
CLEVELAND, OH 44106-2971
Phone: (216) 444-9525 Fax: (216) 445-0025
Mailing address
9500 EUCLID AVE, JJ10
CLEVELAND, OH 44195-2971
Phone: (216) 444-9525 Fax: (216) 445-0025
Organization Subpart
No
Authorized Official
TIM LONGVILLE
CHIEF ACCOUNTING OFFICER
Phone: (216) 636-7416
Updated
Certification Date
Jan 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CLEVELAND CLINIC CHILDRENS AMBULATORY PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH2210262
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0002X
- Pharmacy / Clinic Pharmacy (Primary)
OH 02-1237150

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.