MATTHEW KOSTOFF (NPI# 1306275904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306275904 |
| Entity Type | Individual |
| Full Name | MATTHEW KOSTOFF |
| Credential | PHARMD |
| Practice Address |
9511 W Pleasant Valley Rd Parma OH 44130-6002 |
| Mailing Address |
168 E Market St Akron OH 44308-2014 |
| Practice Telephone | 2162861052 |
| Mailing Telephone | 3309968571 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03330847 | OH | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1-15917 | KS | Pharmacy Service Providers |
| Street Address |
9511 W PLEASANT VALLEY RD |
| City | PARMA |
| State | OH |
| Zip Code | 44130-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220727 | Kasey Mucher | Pharmacist | 9511 W Pleasant Valley Rd, Parma, OH 44130-6002 | 2020-09-18 |
| 1598371361 | Pooja Boghara | Pharmacist | 9511 W Pleasant Valley Rd, Parma, OH 44130-6002 | 2020-09-17 |
| 1932715638 | Olivia Marie Fritz | Pharmacist | 9511 W Pleasant Valley Rd, Parma, OH 44130-6002 | 2020-09-17 |
| 1407462203 | Brayden C Dunn | Pharmacist | 9511 W Pleasant Valley Rd, Parma, OH 44130-6002 | 2020-09-17 |
| 1740788579 | University Hospitals Home Care Services Inc | Hospice, Inpatient | 9511 W Pleasant Valley Rd, Parma, OH 44130-6002 | 2018-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043599764 | Amanda Diane Tomko | Pharmacist | 12301 Snow Rd, Parma, OH 44130-1002 | 2011-08-11 |
| 1568695393 | Lindsay Carr King | Pharmacist | 12301 Snow Rd, Clinical Pharmacy Services, Parma, OH 44130-1002 | 2009-08-27 |
| 1598924094 | Matt David Schneiderman | Pharmacist | 12301 Snow Rd, Parma, OH 44130-1002 | 2008-06-09 |
| 1730174509 | John Patrick Blazek | Pharmacist | 12301 Snow Rd, Clinical Pharmacy Services, Parma, OH 44130-1002 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608561 | Chad Michael Early | Pharmacist | 1001 Cherry St Ste A, Blanchester, OH 45107-1346 | 2020-10-30 |
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1023625613 | Andrea Haney | Pharmacist | 2449 Ross Millville Rd Ste 185, Hamilton, OH 45013-8955 | 2020-09-28 |
| 1881205433 | Jacob Thomas Hoferer | Pharmacist | 120 E Freedom Way Unit 410, Cincinnati, OH 45202-3453 | 2020-08-16 |
| 1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
| 1811510639 | Maegan Nichole Klosterman | Pharmacist | 14242 Providence Pike, Brookville, OH 45309-9709 | 2020-05-27 |
| 1336768720 | Rachael Yim | Pharmacist | 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 | 2020-04-15 |
| 1174150742 | Kelli Holden | Pharmacist | 4530 Eastgate Blvd Ste 500, Cincinnati, OH 45245-1256 | 2020-03-24 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
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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.