Community Care Pharmacy

LBN: Community Care Network Inc
Community Care Pharmacy is an health care organization with primary practice located at 3167 Fulton Rd Ste 111 , Cleveland OH 44109-1465. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Managed Care Organization Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Community Care Network Inc can be contacted via phone (216) 283-3865, or through Myers, Ray via phone (216) 283-3865.

Contact Information

Primary practice address
3167 Fulton Rd Ste 111 Cleveland OH 44109-1465
Phone: (216) 283-3865
Fax: (216) 651-1590
Website:
Map and Directions
Authorized official contact:
Name: Myers, Ray RPH
Phone: (216) 283-3865

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 02154695003 Ohio
Suppliers / Managed Care Organization Pharmacy 3336M0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1033296363
LBN Legal business name Community Care Network Inc
DBA Doing business as Community Care Pharmacy
Authorized official Myers, Ray RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 8th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033296363 NPPES
Ohio MEDICAID 2586607
Ohio Other 2080327

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