CRISTAL EXLINE


Address: 18101 Lorain Ave, Cleveland, OH 44111-5612
Phone: 2168896775

CRISTAL EXLINE (NPI# 1679971832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679971832
Entity Type Individual
Full Name CRISTAL EXLINE
Credential PHARMD, BCPS
Practice Address 18101 Lorain Ave
Cleveland
OH 44111-5612
Practice Telephone 2168896775
Mailing Telephone 2168896775
Enumeration Date 2014-12-19
Last Update Date 2014-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
03-3-25378 OH Pharmacy Service Providers

Office Location

Street Address 18101 LORAIN AVE
City CLEVELAND
State OH
Zip Code 44111-5612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548261886 Raymond Zyck Anesthesiology 18101 Lorain Ave, Cleveland, OH 44111-5612 2005-08-09
1063011526 Hassan Mohamed Shaheen Student in an Organized Health Care Education/Training Program 18101 Lorain Ave, Cleveland, OH 44111-5612 2020-10-25
1164036737 Feras Alkhalaileh Student in an Organized Health Care Education/Training Program 18101 Lorain Ave, Cleveland, OH 44111-5612 2020-09-01
1700499555 Bindesh Ghimire Internal Medicine 18101 Lorain Ave, Cleveland, OH 44111-5612 2020-08-30
1851903397 Sachin Kumar Student in an Organized Health Care Education/Training Program 18101 Lorain Ave, Cleveland, OH 44111-5612 2020-08-17
1548871908 Georges Abi Roustom Student in an Organized Health Care Education/Training Program 18101 Lorain Ave, Cleveland, OH 44111-5612 2020-08-11
1730798992 Tarini Natalya Elapata Gunaratne Student in an Organized Health Care Education/Training Program 18101 Lorain Ave, Cleveland, OH 44111-5612 2020-07-23
1598373987 Komal Mushtaq Student in an Organized Health Care Education/Training Program 18101 Lorain Ave, Cleveland, OH 44111-5612 2020-07-21
1437767613 Jessica Chan Pharmacist 18101 Lorain Ave, Cleveland, OH 44111-5612 2020-07-14
1750909073 Anoosha Maria Tauquir Internal Medicine 18101 Lorain Ave, Cleveland, OH 44111-5612 2020-07-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265098453 Remeka D Mason Nurse's Aide 3770 W 130th St, Cleveland, OH 44111 2019-05-14
1447712500 L.i.s. Transportation LLC Secured Medical Transport (VAN) 15720 Lorain Avenue, Cleveland, OH 44111 2019-04-05
1619446465 Donald Lewis Jr. Case Manager/Care Coordinator 3430 Warren Rd, Apt 25, Cleveland, OH 44111 2018-11-21
1487138335 Dominique Sharita Dent Case Manager/Care Coordinator 12104 Marne Ave., Cleveland, OH 44111 2018-09-17
1629518956 Daniela Alejandra Mchugh-carias Specialist/Technologist 17215 Bradgate Ave, Cleveland, OH 44111 2017-03-06
1568831535 Marlene Fernandez Registered Nurse 3153 West 105, Cleveland, OH 44111 2015-09-21
1225418957 Subanandhini Subramaniam Parameshwari Internal Medicine 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 2015-06-08
1659785798 Desiree D Reid Home Health Aide 3715 Highland Road, Cleveland, OH 44111 2014-06-17
1184042665 David Meyer Pharmacist 3929 Rocky River Dr., Cleveland, OH 44111 2014-04-02
1578905089 Bassel Akbik Internal Medicine 18099 Lorain Ave # 250, Cleveland, OH 44111 2013-07-25
Find all providers in zip 44111

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336768720 Rachael Yim Pharmacist 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 2020-04-15
1346893948 Amanda Szczepanik Pharmacist 11100 Euclid Ave # B400, Cleveland, OH 44106-1716 2019-07-23
1326600396 Abdallah Abukhalil Pharmacist 7905 Euclid Ave, Cleveland, OH 44103-4226 2019-07-01
1376884056 Catherine Marie Cappetto Pharmacist 18101 Lorain Ave., Cleveland, OH 44111 2013-03-06
1699388355 Pavithra Srinivas Pharmacist 9500 Euclid Ave # Hb-105, Cleveland, OH 44195-0001 2020-08-24
1083223747 Natasa Zivak Pharmacist 3929 Rocky River Dr, Cleveland, OH 44111-4153 2020-07-29
1093331845 Alyssa Curtis Pharmacist 16100 Lake Shore Blvd, Cleveland, OH 44110-1001 2020-06-17
1407482714 Samantha Loutzenheiser Pharmacist 9500 Euclid Ave, Cleveland, OH 44195-0001 2020-03-18
1821646852 Brett Bushong Pharmacist 11100 Euclid Ave, Cleveland, OH 44106-1716 2019-09-03
1619524121 Jason Makii Pharmacist 11100 Euclid Ave, Mather B400, Cleveland, OH 44106 2019-08-20
Find all providers in CLEVELAND

Competitor

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City CLEVELAND
Zip Code 44111

Improve Information

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Dataset Information

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.

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